Active NPI
Jeffrey S Peterson MD Inc
- Urgent Care Clinic/Center
- San Francisco, CA
National Provider Identifier
1174978688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- A65906
- Legal business name
- JEFFREY S PETERSON MD INC
- Practice address
- 490 Post St
Suite 336
San Francisco, CA 94102-1401 - Phone
- (415) 578-5590
- Fax
- (415) 578-5599
- NPI assigned
- May 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey S Peterson, MD
- Title
- Owner
- Phone
- (650) 704-7094
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | A65906 | CA | |
| Urgent Care Clinic/Center | 261QU0200X | A65906 | CA | Primary |
Addresses
Primary practice location
490 Post St
Suite 336
San Francisco, CA 94102-1401
Mailing address
490 Post St
Suite 336
San Francisco, CA 94102-1401
Phone (415) 578-5590
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/13684/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462233600000",
"number": "1174978688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 POST ST",
"address_2": "SUITE 336",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021401",
"telephone_number": "415-578-5590",
"fax_number": "415-578-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 POST ST",
"address_2": "SUITE 336",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021401",
"telephone_number": "415-578-5590",
"fax_number": "415-578-5599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY S PETERSON MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-704-7094",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": "CA",
"license": "A65906",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "A65906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.