Individual provider Active NPI

Arthur Stanley Peters, M.D.

  • Otolaryngology Physician
  • Ventura, CA
National Provider Identifier
1306012992
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A19308 Issued in CA
Practice address
164 Nob Hill LN
Ventura, CA 93003-1231
Phone
(805) 648-3081
Fax
(805) 648-2659
NPI assigned
May 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A19308 CA Primary

Addresses

Primary practice location

164 Nob Hill LN
Ventura, CA 93003-1231

Mailing address

164 Nob Hill LN
Ventura, CA 93003-1231
Phone (805) 648-3081

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A19308CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D. Brantner, M.D. a Professional Corporation Past Accepting new patients
Ventura Ear Nose & Throat Med Group Inc Otolaryngology PastSince Nov 26, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1306012992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NOB HILL LN",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031231",
            "telephone_number": "805-648-3081",
            "fax_number": "805-648-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NOB HILL LN",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031231",
            "telephone_number": "805-648-3081",
            "fax_number": "805-648-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ARTHUR",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A19308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.