Active NPI
Steven H Peterson, MD
- Specialist
- Sonora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G43320
- Practice address
- 691 Pauline CT
Sonora, CA 95370-5216 - Phone
- (209) 532-6961
- Fax
- (209) 532-0537
- NPI assigned
- Dec 11, 2006
- Last updated
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G43320 | CA | Primary |
Addresses
Primary practice location
691 Pauline CT
Sonora, CA 95370-5216
Mailing address
691 Pauline CT
Sonora, CA 95370-5216
Phone (209) 532-6961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G43320 | Medicaid | CA | |
| CQ974Z | Other | CA | STAFF INDIV PTAN MEDICARE-TEMPLETON/TWIN CITIES COMM HOSP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 71.65
- Improvement activities
- 40
- Cost
- 57.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.98 of 100
- Quality
- 11.8
- Promoting interoperability
- 74
- Improvement activities
- 0
- Cost
- 82.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43320 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orion Orthopaedic Trauma, Inc | Current | Accepting new patients | |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Delphi OB-GYN Group of Montgomery County LLC | Past | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
1335 Coffee Rd
Ste 100
Modesto, CA 95355
Phone (209) 524-4438
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foothill Orthopaedic Medical Clinic
- Specialist
- Sonora, CA
- NPI 1861605420
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Orthopaedic Trauma Physician
- Modesto, CA
- NPI 1093137051
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Obstetrics & Gynecology Physician
- Olney, MD
- NPI 1780881615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1083774897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 PAULINE CT",
"city": "SONORA",
"state": "CA",
"postal_code": "953705216",
"telephone_number": "209-532-6961",
"fax_number": "209-532-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 PAULINE CT",
"city": "SONORA",
"state": "CA",
"postal_code": "953705216",
"telephone_number": "209-532-6961",
"fax_number": "209-532-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "STEVEN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G43320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G43320",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAFF INDIV PTAN MEDICARE-TEMPLETON/TWIN CITIES COMM HOSP",
"identifier": "CQ974Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.