Don Peterson MD, Sugical Assisting

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G22928 Issued in CA

Legal business name

DON PETERSON MD, SUGICAL ASSISTING

Practice address

Mercy Hospital of Folsom (Dignity Health Folsom)
1650 Creekside Dr.
Folsom, CA 95630

Phone

(916) 425-3447

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Donald R Peterson II, MD

Title

Ceo

Phone

(916) 425-3447

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1548750144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 BUCHANAN DRIVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-425-3447",
            "fax_number": "916-961-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MERCY HOSPITAL OF FOLSOM (DIGNITY HEALTH FOLSOM)",
            "address_2": "1650 CREEKSIDE DR.",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-425-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON PETERSON MD, SUGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-425-3447",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G22928",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G22928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David DO, RPH
• Hung K DO, DDS
• Doc'S Medical Mart
• Denise Dolcini, LVN
• Karen Joanne Dominguez, RN, FNP-C
• Kevin Donaghy, M.D.
• Donald E. Clarke, D.D.S., Inc.
• Julie Marie Dong, LCSW, PPSC
• Donna a. K. Kalauokalani, MD, Inc.
• David Doron, DPT

• Surgery Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.