Luke Christopher Peters, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A179979 Issued in CA

Practice address

23823 Valencia Blvd Ste 120
Santa Clarita, CA 91355-9509

Phone

(661) 253-4971

Fax

(612) 534-9726

NPI assigned

Mar 19, 2019

Last updated

Oct 16, 2024By 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

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Henry Mayo Newhall Memorial Hospital

  dba Henry Mayo Newhall Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  NPD (past)
• Morris Yen, MD, Inc

  • Pediatrics Physician
  • Newhall, CA
  • NPI 1912086596
  NPD (past)
• Santa Clarita Pediatrics

  • Pediatrics Physician
  • Valencia, CA
  • NPI 1841379427
  NPD (past)
• Sunanda Reddy Vadapalli, MD, Inc

  • Pediatrics Physician
  • Newhall, CA
  • NPI 1508945270
  NPD (past)
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1639638679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 120",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559509",
            "telephone_number": "612-534-9716",
            "fax_number": "661-253-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 120",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913559509",
            "telephone_number": "661-253-4971",
            "fax_number": "612-534-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LUKE",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A179979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essie Peschong, RN
• Daisy Petcharamuk
• Peter Nicolazzo, M.D., Inc
• Cynthia Peter
• Chad A Peters, ATC
• Marcy A Petrique
• Brittani Peyton, LPCC
• Amanda Diane Pfau
• Dorothy Diane Pfeiffer
• Monica Eileen Phelps

• Pediatrics Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.