Active NPI
Michael Marshal Peikoff, M.D.
- Pediatrics Physician
- Carlsbad, CA
National Provider Identifier
1154615482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G11226
- Practice address
- 7040 Avenida Encinas
104-183
Carlsbad, CA 92011 - Phone
- (702) 277-1005
- Fax
- (760) 448-6720
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G11226 | CA | Primary |
Addresses
Primary practice location
7040 Avenida Encinas
104-183
Carlsbad, CA 92011
Mailing address
7040 Avenida Encinas
104-183
Carlsbad, CA 92011
Phone (702) 277-1005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G11226 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1154615482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 AVENIDA ENCINAS",
"address_2": "104-183",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92011",
"telephone_number": "702-277-1005",
"fax_number": "760-448-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7040 AVENIDA ENCINAS",
"address_2": "104-183",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92011",
"telephone_number": "702-277-1005",
"fax_number": "760-448-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIKOFF",
"first_name": "MICHAEL",
"middle_name": "MARSHAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G11226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.