Paul Thomas Peterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32513 Issued in CA

Practice address

2301 El Cajon Blvd
San Diego, CA 92104-1105

Phone

(619) 269-9909

NPI assigned

Feb 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 100 Chiropractic LJ Livingood Apc

  • Chiropractor
  • San Diego, CA
  • NPI 1386336048
  NPD
• Casey Chiropractic Inc.

  dba CHIROPRACTIQUE urban retreat san diego

  • Chiropractor
  • San Diego, CA
  • NPI 1295970176
  NPD (past)

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1538408380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40640 HIGH ST APT 912",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383554",
            "telephone_number": "858-952-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041105",
            "telephone_number": "619-269-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Jo Peterson, RN
• McKenna Peterson
• Megan Lynn Peterson
• Morgan Peterson
• Natalija Peterson
• Rachel Elizabeth Peterson
• Raymond Macdonald Peterson I, MD MPH
• Ricardo Albin Peterson, L.AC.
• Ryan Lee Peterson, DPT
• Sally Peterson, LCSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.