Gerald E. Peters, M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C23618 Issued in CA

Legal business name

GERALD E. PETERS, M.D., INC

Practice address

6700 N 1St St
Suite 131
Fresno, CA 93710-3900

Phone

(559) 432-3333

Fax

(559) 432-3336

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

J. Robert West, M.D.

Title

President

Phone

(909) 335-8649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1477752202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD",
            "address_2": "SUITE 212",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734775",
            "telephone_number": "909-335-8649",
            "fax_number": "909-557-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST",
            "address_2": "SUITE 131",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103900",
            "telephone_number": "559-432-3333",
            "fax_number": "559-432-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD E. PETERS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-335-8649",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C23618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquesha Denise George, PPS
• Rebecca George
• Terry Louise George, PTA
• Peter John Georgio II, M.D.
• Stephen John Georgiou Jr., MD
• Sharon N. Gerardi, DO
• Supriya Gerardine, M.D.
• Gerardo Madrigal (The Healing Circle)
• Victoria Geren, DDS
• Haidy Gerges

• Dermatology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.