Oluloniyin Peters

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0101263701 Issued in VA

Practice address

70077 Ramon Rd Ste 200
Rancho Mirage, CA 92270-5201

Phone

(760) 895-6562

NPI assigned

Apr 3, 2014

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19718/brand/1/csg/1/fhir/r4

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.

• Bagherpour Inc

  • Physical Medicine & Rehabilitation Physician
  • Rancho Mirage, CA
  • NPI 1295391712
  Medicare reassignment NPD
• Peters Inc.

  • Physical Medicine & Rehabilitation Physician
  • Rancho Mirage, CA
  • NPI 1093377343
  Authorized official Same address or phone

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1619395969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ORLEANS RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70077 RAMON RD STE 200",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705201",
            "telephone_number": "760-895-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "OLULONIYIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101263701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil Perumbeti, M.D.
• Richard Pessagno, DNP
• Peter C. Shorts Licensed Clinical Social Worker PC
• Peter R. Schulz, M.D. Inc..
• Peters Inc.
• Madison Peterson, PA-C
• Alexis Petra, MD
• William D Petras, D.O.
• Thu Phan-Concepcion, PHARMD
• John William Phillip, M.D.

• Physical Medicine & Rehabilitation Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.