Individual provider Active NPI

Ashok C Peter, M.D.

  • Family Medicine Physician
  • Mission Hills, CA
National Provider Identifier
1659790962
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A145847 Issued in CA
Practice address
11333 N Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone
(818) 869-7200
Fax
(818) 837-5741
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A145847 CA Primary

Addresses

Primary practice location

11333 N Sepulveda Blvd
Mission Hills, CA 91345-1116

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559

Other practice location 1

15400 W McNichols Rd
Detroit, MI 48235-3724
Phone (310) 741-2413

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apeter1168399@oc.providencedirect.org
Direct Messaging Address apeter1168399@oc.providencedirect.org

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
145847CAMDMarriage & Family Therapist
A145847CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: apeter1168399@oc.providencedirect.org
  • Direct secure messaging: apeter@ahcdetroit.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1659790962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5559",
            "fax_number": "818-792-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 N SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451116",
            "telephone_number": "818-869-7200",
            "fax_number": "818-837-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15400 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482353724",
            "country_code": "US",
            "telephone_number": "310-741-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETER",
        "first_name": "ASHOK",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A145847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeter1168399@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11333 N Sepulveda Blvd",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeter1168399@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "26357 McBean Pkwy",
            "city": "Valencia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913554488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.