Ryan Curtis Peterson, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

A103097 Issued in CA

Practice address

3209 Hillock Dr
Los Angeles, CA 90068-1427

Phone

(310) 266-3774

Fax

(323) 380-7420

NPI assigned

Mar 18, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

AnesthesiologyAlso: Addiction Medicine

Education

George Washington University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ryan C Peterson MD Inc

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
  • NPI 1609166545
  Medicare reassignment NPD Authorized official
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1497747356
  Medicare reassignment NPD
• Anesthesia Provider Group Inc

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1538404256
  Medicare reassignment NPD
• Brotman Medical Anesthesia Group

  • Anesthesiology Physician
  • Woodland Hills, CA
  • NPI 1154378362
  Medicare reassignment NPD
• California Back and Pain Specialists

  • Interventional Pain Medicine Physician
  • Van Nuys, CA
  • NPI 1588852024
  Medicare reassignment NPD
• Next Horizon Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Ridgecrest, CA
  • NPI 1851115562
  Medicare reassignment NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Simi Valley, CA
  • NPI 1063890275
  NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1245832419
  NPD
• Nuvu, LLC

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1295235950
  NPD (past)
• Zyrox Medical Associates ,Inc

  • Surgery Physician
  • Van Nuys, CA
  • NPI 1316435142
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1669613816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "323-380-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 HILLOCK DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681427",
            "telephone_number": "310-266-3774",
            "fax_number": "323-380-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Balboa Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165206",
            "country_code": "US",
            "telephone_number": "818-784-8975",
            "fax_number": "818-784-2035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 Wilbur Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913561309",
            "country_code": "US",
            "telephone_number": "818-344-0070",
            "fax_number": "818-344-0079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Valley Circle Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913043023",
            "country_code": "US",
            "telephone_number": "310-266-3774",
            "fax_number": "323-380-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Ocean Park Blvd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053022",
            "country_code": "US",
            "telephone_number": "310-266-3774",
            "fax_number": "323-380-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16030 Ventura Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362779",
            "country_code": "US",
            "telephone_number": "310-266-3774",
            "fax_number": "323-380-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22900 Ventura Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913645808",
            "country_code": "US",
            "telephone_number": "310-266-3774",
            "fax_number": "323-380-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7966 Beverly Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484511",
            "country_code": "US",
            "telephone_number": "310-266-3774",
            "fax_number": "323-380-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42051 10th St W Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935347093",
            "country_code": "US",
            "telephone_number": "818-501-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RYAN",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A103097",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A103097",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A103097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazra Peterson
• Nicholas Vernon Peterson, MD
• Patricia Peterson
• Porsha Peterson, NP
• Robert Phillip Sims Peterson
• Sara Peterson, PT, DPT
• Peticub
• Nubar Petikyan, PHARMD
• Sharlette Renee Petillo
• Brandi-Lynn Petit

• Addiction Medicine (Psychiatry & Neurology) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.