Active NPI
Ann J Peters, M.D.
- Adult Medicine Physician
- Gold River, CA
National Provider Identifier
1417252685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A68861
- Practice address
- 2377 Gold Meadow Way
Suite 100
Gold River, CA 95670-4405 - Phone
- (916) 631-1536
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A68861 | CA | Primary |
| Adult Medicine Physician | 207QA0505X | 243012-1 | NY |
Addresses
Primary practice location
2377 Gold Meadow Way
Suite 100
Gold River, CA 95670-4405
Mailing address
2377 Gold Meadow Way
Suite 100
Gold River, CA 95670
Phone (916) 631-1536
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 |
|---|---|---|---|
| A68861 | CA | MD | Adult Medicine Physician |
| 243012-1 | NY | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1417252685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2377 GOLD MEADOW WAY",
"address_2": "SUITE 100",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "95670",
"telephone_number": "916-631-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2377 GOLD MEADOW WAY",
"address_2": "SUITE 100",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704405",
"telephone_number": "916-631-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ANN J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A68861",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "243012-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.