Individual provider Active NPI

Peter Colaprete, MD

  • Emergency Medicine Physician
  • Rancho Santa Fe, CA
National Provider Identifier
1467496265
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A41396 Issued in CA
Practice address
PO Box 389
Rancho Santa Fe, CA 92067-0389
Phone
(858) 472-0717
Fax
(858) 759-1557
NPI assigned
Jun 15, 2006
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A41396 CA Primary

Addresses

Primary practice location

PO Box 389
Rancho Santa Fe, CA 92067-0389

Mailing address

PO Box 389
Rancho Santa Fe, CA 92067-0389
Phone (858) 472-0717

Other identifiers 1

IdentifierTypeStateIssuer
1083892459MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000786 CA Practitioner - Emergency MedicinePractitioner - Other (Physician)Practitioner - Undersea and Hyperbaric Medicine 8921901711 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41396CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Colaprete MD a Medical Corp Undersea and Hyperbaric Medicine CurrentSince Feb 1, 2008 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Aug 19, 2016 Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5555 Grossmont Center Dr
#D
La Mesa, CA 91942
Phone (619) 465-0711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1467496265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670389",
            "telephone_number": "858-472-0717",
            "fax_number": "858-759-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670389",
            "telephone_number": "858-472-0717",
            "fax_number": "858-759-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAPRETE",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A41396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083892459",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Fe, CA

Sources for this page

Verify at the official NPI Registry.