Active NPI
Cosette Peters
- Physician Assistant
- Marina, CA
National Provider Identifier
1265213375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63146
- Practice address
- 3130 Del Monte Blvd
Marina, CA 93933-3047 - Phone
- (831) 883-3330
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA63146 | CA | Primary |
Addresses
Primary practice location
3130 Del Monte Blvd
Marina, CA 93933-3047
Mailing address
3620 Woodside Ter
Fremont, CA 94539-8048
Phone (510) 552-0323
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Main St
Watsonville, CA 95076-3761
Phone (831) 722-1444
3130 Del Monte Blvd
Marina, CA 93933-3047
Phone (831) 883-3330
615 Ocean St
Santa Cruz, CA 95060-4005
Phone (831) 425-7991
6800 Soquel Dr
Aptos, CA 95003-3225
Phone (831) 662-3611
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.47 of 100
- Quality
- 67.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63146 | CA | MD | Pharmacist |
| PA63146 | CA | MD | Physician Assistant |
Interoperability endpoints
- cpeters18757@direct.svmh.com
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1265213375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 WOODSIDE TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945398048",
"telephone_number": "510-552-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 DEL MONTE BLVD",
"city": "MARINA",
"state": "CA",
"postal_code": "939333047",
"telephone_number": "831-883-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "COSETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.