Active NPI
Ashok C Peter, M.D.
- Family Medicine Physician
- Mission Hills, CA
National Provider Identifier
1659790962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A145847
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 145847 | CA | MD | Marriage & Family Therapist |
| A145847 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- apeter1168399@oc.providencedirect.org
- 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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1740788702
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.