Active NPI
Michael Lino Felipe Peyton, MD
- Pediatric Sports Medicine Physician
- Agoura Hills, CA
National Provider Identifier
1487186318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- A159009
- Practice address
- 29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561 - Phone
- (818) 501-7276
- Fax
- (818) 501-7288
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | A159009 | CA | Primary |
Addresses
Primary practice location
29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561
Mailing address
29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561
Phone (818) 501-7276
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Medical College of Wisconsin, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18411 Clark St
Suite 302
Tarzana, CA 91356-3541
Phone (818) 501-7276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159009 | CA | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Sports Medicine a Medical Corporation | Sports Medicine | Current | Accepting new patients |
| Primary Care Sports Medicine a Medical Corporation | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
29229 Canwood St
Ste 112
Agoura Hills, CA 91301
Phone (818) 501-7276
18411 Clark St
Ste 302
Tarzana, CA 91356
Phone (818) 501-7276
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Sports Medicine (Family Medicine) Physician
- Agoura Hills, CA
- NPI 1134274418
-
- Sports Medicine (Family Medicine) Physician
- Agoura Hills, CA
- NPI 1841977253
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1487186318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29229 CANWOOD ST STE 112",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011561",
"telephone_number": "818-501-7276",
"fax_number": "818-501-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29229 CANWOOD ST STE 112",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011561",
"telephone_number": "818-501-7276",
"fax_number": "818-501-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYTON",
"first_name": "MICHAEL LINO",
"middle_name": "FELIPE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "CA",
"license": "A159009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.