Derrick Schuyler Peterson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3400 Bradshaw Rd
Suite a-5
Sacramento, CA 95827-2614

Phone

(916) 415-8648

NPI assigned

Oct 31, 2012

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)

Not enrolled

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1538413349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957410518",
            "telephone_number": "916-402-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BRADSHAW RD",
            "address_2": "SUITE A-5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272614",
            "telephone_number": "916-415-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DERRICK",
        "middle_name": "SCHUYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Amber Petersen, PA-C
• Peterson-Bird Chiropractic Corp
• Ashley Peterson, PSYD
• Chloe Peterson
• Danielle Frances Peterson, MD
• Jennifer Rae Peterson
• Johann Milian Peterson, M.D.
• Julia Peterson
• Maeley Rose Peterson, NNP-BC
• Marilyn Louise Peterson, MFT

• Non-emergency Medical Transport (VAN) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.