Individual provider Active NPI

Michael Lino Felipe Peyton, MD

  • Pediatric Sports Medicine Physician
  • Agoura Hills, CA
National Provider Identifier
1487186318
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
A159009 Issued in CA
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

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908003826 CA Practitioner - Sports Medicine 8527397264 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A159009CAMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Sports Medicine a Medical Corporation Sports Medicine CurrentSince Aug 23, 2021 Accepting new patients
Primary Care Sports Medicine a Medical Corporation CurrentSince Aug 23, 2021 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.

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

Verify at the official NPI Registry.