Greti Ileana Petersen

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A93553 Issued in CA

Practice address

625 34TH St Ste 100&200
Bakersfield, CA 93301-2305

Phone

(183) 367-8278

Fax

(661) 368-0618

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as group

Quality

47.69

Promoting interoperability

100

Improvement activities

40

Cost

82.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1861494338
  Medicare reassignment Care Compare group NPD
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Medicare reassignment
• Clinica Sierra Vista

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1790128536
  NPD
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1336668284
  NPD
• Central California Hospitalists

  • Family Medicine Physician
  • Delano, CA
  • NPI 1649381807

  Internal Medicine

  NPD (past)
• Kern Faculty Medical Group

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1174546006

  Internal Medicine

  NPD (past)
• Parikshat Sharma Inc

  • Hospitalist Physician
  • Bakersfield, CA
  • NPI 1205145430

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1144252040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100&200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012305",
            "telephone_number": "183-367-8278",
            "fax_number": "661-368-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100&200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012305",
            "telephone_number": "183-367-8278",
            "fax_number": "661-368-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Mt. Vernon Ave",
            "address_2": "Ste 211",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93306",
            "country_code": "US",
            "telephone_number": "661-872-7000",
            "fax_number": "661-872-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "GRETI",
        "middle_name": "ILEANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Wilson Peters, M.D.
• Kristen Ann Peters, FNP-C
• Patience Ime Peters
• Sanglim Lee Peters, DMD
• Brent H Petersen, LCSW
• Lucille Petersen, CRNA
• Christina Peterson
• David Peterson, D.D.S.
• Deshay Tywin Peterson
• Emmerentia Esther Lucille Peterson, PHARM.D.

• Internal Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.