Active NPI
John Haile Peters, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Mather, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G46558
- Practice address
- 10535 Hospital Way
Sacramento VA Medical Center
Mather, CA 95655 - Phone
- (916) 843-7153
- Fax
- (916) 364-0306
- NPI assigned
- Dec 16, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G46558 | CA | Primary |
Addresses
Primary practice location
10535 Hospital Way
Sacramento VA Medical Center
Mather, CA 95655
Mailing address
1237 Antelope Ave
Davis, CA 95616-5910
Phone (530) 297-5556
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46558 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Home of California | Current | Accepting new patients | |
| Veterans Home of California | Current | Accepting new patients | |
| Veterans Home of California | Current | Accepting new patients |
Locations
1227 O St
Rm 402
Sacramento, CA 95814
100 California Dr
Yountville, CA 94599
Phone (707) 944-4506
120 California Dr
Yountville, CA 94599
Phone (707) 944-4506
220 California Dr
Yountville, CA 94599
Phone (707) 944-4382
220 California Dr
#3E
Yountville, CA 94599
220 California Dr
Ste 3E
Yountville, CA 94599
Phone (707) 944-4506
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Veterans Home of California - Yountville | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2020 Mar 1, 2020 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1104811751
Adp of the SNF, Operational/Managerial Control
-
dba Veterans Home of California-Yountville
- Skilled Nursing Facility
- Yountville, CA
- NPI 1386898203
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1477707396
Adp of the SNF, Operational/Managerial Control
-
dba Veterans Home of California-Yountville
- Skilled Nursing Facility
- Yountville, CA
- NPI 1710131602
Adp of the SNF, Operational/Managerial Control
-
dba Veterans Home of California-Yountville
- Skilled Nursing Facility
- Yountville, CA
- NPI 1740434661
Adp of the SNF, Operational/Managerial Control
-
dba Veterans Home of California-Yountville
- Nursing Facility/Intermediate Care Facility
- Yountville, CA
- NPI 1831343755
Adp of the SNF, Operational/Managerial Control
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Veterans Home of California-Yountville
- Skilled Nursing Facility
- Yountville, CA
- NPI 1740434661
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1104811751
-
dba Veterans Home of California-Yountville
- Nursing Facility/Intermediate Care Facility
- Yountville, CA
- NPI 1831343755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497731806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 ANTELOPE AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165910",
"telephone_number": "530-297-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY",
"address_2": "SACRAMENTO VA MEDICAL CENTER",
"city": "MATHER",
"state": "CA",
"postal_code": "95655",
"telephone_number": "916-843-7153",
"fax_number": "916-364-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JOHN",
"middle_name": "HAILE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G46558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.