Organization Active NPI

Peter Swann MD, Inc

  • Sports Medicine (Family Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1497071302
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
G69836 Issued in CA
Legal business name
PETER SWANN MD, INC
Doing business as
AfterCare Medical Group
Practice address
1839 Ygnacio Valley Rd
Suite 363
Walnut Creek, CA 94598-3214
Phone
(925) 899-8366
Fax
(206) 339-8366
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Mr. Peter David Swann, M.D.
Title
President
Phone
(925) 899-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X G69836 CA Primary

Addresses

Primary practice location

1839 Ygnacio Valley Rd
Suite 363
Walnut Creek, CA 94598-3214

Mailing address

1839 Ygnacio Valley Rd
Suite 363
Walnut Creek, CA 94598-3214
Phone (925) 899-8366

Other names 1

  • AfterCare Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1497071302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 YGNACIO VALLEY RD",
            "address_2": "SUITE 363",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983214",
            "telephone_number": "925-899-8366",
            "fax_number": "206-339-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 YGNACIO VALLEY RD",
            "address_2": "SUITE 363",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983214",
            "telephone_number": "925-899-8366",
            "fax_number": "206-339-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SWANN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-899-8366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G69836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AfterCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.