Peter Colaprete MD a Medical Corp

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

A41396 Issued in CA

Legal business name

PETER COLAPRETE MD A MEDICAL CORP

Practice address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Phone

(619) 740-4160

NPI assigned

Feb 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter Colaprete, MDNPI 1467496265

Title

MD/President

Phone

(619) 740-4160

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Colaprete, MD

  • Emergency Medicine Physician
  • Rancho Santa Fe, CA
  • NPI 1467496265

  Undersea and Hyperbaric Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1083892459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670389",
            "telephone_number": "619-740-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER COLAPRETE MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "COLAPRETE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "619-740-4160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "A41396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083892459",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1083892459",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W22437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Perkins, OTD, OTR/L
• Linda Perreault, LMFT
• Desmond Duval Perry
• Kristin M Persson, PSY.D.
• Felicity Pet
• Peter F Johnson DMD a Professional Corporation
• Peter H. Belott M.D. Inc.
• Jamie Starr Peters, O.D.
• Maureen Peters, A.N.P.
• Jane Petersen, AUDIOLOGIST

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.