Individual provider Active NPI

John Haile Peters, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mather, CA
National Provider Identifier
1497731806
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G46558 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000179 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8426246208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46558CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California CurrentSince Jan 4, 2016 Accepting new patients
Veterans Home of California Current Accepting new patients
Veterans Home of California CurrentSince Jan 4, 2016 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.

FacilityTypeRoleSince
Veterans Home of California - YountvilleYountville, CA, CCN 555095 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.

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.

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

Verify at the official NPI Registry.