Active NPI
Peter Douglass Lichty, MD MOH
- Preventive Medicine/Occupational Environmental Medicine Physician
- Benicia, CA
National Provider Identifier
1548480122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- G055368
- Practice address
- 924 Bolton Cir
Benicia, CA 94510-3620 - Phone
- (510) 502-1668
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | G055368 | CA | Primary |
Addresses
Primary practice location
924 Bolton Cir
Benicia, CA 94510-3620
Mailing address
924 Bolton Cir
Benicia, CA 94510-3620
Phone (510) 502-1668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G055368 | CA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1548480122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 BOLTON CIR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103620",
"telephone_number": "510-502-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 BOLTON CIR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103620",
"telephone_number": "510-502-1668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTY",
"first_name": "PETER",
"middle_name": "DOUGLASS",
"name_prefix": "Dr.",
"credential": "MD MOH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CA",
"license": "G055368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benicia, CA
- Ellen Leong, RPH
- Theodore Leung, PHARMD
- Lex Mente a Professional Nursing Corporation
- Lex Mente, a Professional Nursing Corporation
- Denise Morin Lichty, PSYD
- Kerry L Lilley, D.C.
- Jacqueline Q Lim, DDS
- Llano Dialysis LLC (Benicia Dialysis)
- Todd Alan Loftin, D.D.S.
- Longs Drug Stores California, LLC (CVS Pharmacy #09761)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.