Individual provider Active NPI

Nicholas Edward Peterson, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ventura, CA
National Provider Identifier
1689230450
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A185351 Issued in CA
Practice address
970 Petit Ave Ste D2
Ventura, CA 93004-2215
Phone
(805) 272-0020
Fax
(651) 666-1610
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A185351 CA Primary

Addresses

Primary practice location

970 Petit Ave Ste D2
Ventura, CA 93004-2215

Mailing address

970 Petit Ave Ste D2
Ventura, CA 93004-2215
Phone (805) 272-0020

Other practice location 1

401 Chapala St Ste 102
Santa Barbara, CA 93101-3496
Phone (805) 272-0020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231027003369 CA Practitioner - Physical Medicine and Rehabilitation 8022346881 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Minnesota Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians
Precision Occupational Medical Group IncGroup PAC ID 4183764574, 17 clinicians
Hasan Badday MD PCGroup PAC ID 9133349574, 6 clinicians
Epidaurus MedicalGroup PAC ID 6103296678, 2 clinicians

Practice addresses (Care Compare)

120 N Ashwood Ave
Ventura, CA 93003-1810
Phone (805) 658-5800

12556 Valley View St
Garden Grove, CA 92845-2006
Phone (949) 855-0022

1513 S Grand Ave
Suite 380
Los Angeles, CA 90015-3070
Phone (949) 872-2632

17264 Red Hill Ave
Irvine, CA 92614-5628
Phone (949) 650-1228

1801 S la Cienega Blvd
Suite 203
Los Angeles, CA 90035-4659
Phone (949) 955-0022

18531 Roscoe Blvd
Suite 215
Northridge, CA 91324-5975
Phone (818) 822-2228

23929 McBean Pkwy
Suite 215
Valencia, CA 91355-4468
Phone (424) 301-7090

401 Chapala St
Suite 102
Santa Barbara, CA 93101-3496
Phone (855) 364-6281

4445 Eastgate Mall
Suite 120
San Diego, CA 92121-1979
Phone (949) 955-0022

970 Petit Ave
Suite D2
Ventura, CA 93004-2215
Phone (805) 272-0020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185351CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epidaurus Medical Pain Medicine CurrentSince Dec 1, 2024 Accepting new patients
Hasan Badday MD PC Pain Medicine CurrentSince Jan 1, 2025 Accepting new patients
Pain and Rehab Consultants PC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2024 Accepting new patients
Neurological Institute of Los Angeles CurrentSince Jul 1, 2024 Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2025 Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2025 Accepting new patients
Precision Occupational Medical Group, Inc. Physical Medicine & Rehabilitation CurrentSince Nov 1, 2023 Accepting new patients
Community Memorial Health System Current Accepting new patients
Nervio Pain Institute Pain Medicine CurrentSince Jul 30, 2024 Accepting new patients

Locations (25 of 32)

8530 Wilshire Blvd
Ste 250
Beverly Hills, CA 90211
Phone (310) 550-6728

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

16830 Ventura Blvd
Ste 220
Encino, CA 91436
Phone (424) 438-0881

12556 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

22 Odyssey
Ste 165
Irvine, CA 92618
Phone (949) 727-2192

17264 Red Hill Ave
Irvine, CA 92614
Phone (949) 650-1228

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

8821 Aviation Blvd
Unit 88070
Los Angeles, CA 90009
Phone (848) 228-0612

1513 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (310) 337-2589

8821 Aviation Blvd
Unit 88100
Los Angeles, CA 90009
Phone (848) 228-0612

6363 Wilshire Blvd
Ste 516
Los Angeles, CA 90048
Phone (310) 933-4590

4553 Glencoe Ave
Ste 140
Marina del Rey, CA 90292
Phone (424) 786-1379

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

300 E Esplanade Dr
Ste 420
Oxnard, CA 93036
Phone (562) 803-6116

4445 Eastgate Mall
Ste 120
San Diego, CA 92121
Phone (858) 488-1057

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

1805 E Dyer Rd
Ste 110
Santa Ana, CA 92705
Phone (714) 612-0576

160 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 455-3691

401 Chapala St
Ste 102
Santa Barbara, CA 93101
Phone (805) 272-0020

3880 Via Lucero
#1605
Santa Barbara, CA 93110
Phone (805) 687-6651

515 E 1st St
Ste B
Tustin, CA 92780
Phone (714) 450-2263

23929 McBean Pkwy
Ste 215
Valencia, CA 91355
Phone (661) 255-5350

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: npeterson4011148@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1689230450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PETIT AVE STE D2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042215",
            "telephone_number": "805-272-0020",
            "fax_number": "651-666-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PETIT AVE STE D2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042215",
            "telephone_number": "805-272-0020",
            "fax_number": "651-666-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Chapala St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931013496",
            "country_code": "US",
            "telephone_number": "805-272-0020",
            "fax_number": "651-666-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A185351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.