Peter J. Knoblich, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G45768 Issued in CA

Practice address

1158 Cirby Way Ste B
Roseville, CA 95661-4422

Phone

(916) 774-4348

Fax

(916) 774-1556

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 14, 2013 through Nov 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376618827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9699 MOUNT VERNON RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039758",
            "telephone_number": "530-885-8595",
            "fax_number": "530-885-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 CIRBY WAY STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614422",
            "telephone_number": "916-774-4348",
            "fax_number": "916-774-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLICH",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Knapp
• Lindsey Knapp, RBT
• Macayla Ann Knibbe
• Michael Kevin Knight
• Richard Knight, DDS
• Whitney Evans Knott, M.D.
• Erik Knowles
• Elise September Knox
• Stephanie Knox, PA-C
• Karen Anne Knutson

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.