Active NPI
John Lewis Peake, M.D.
- Psychiatry Physician
- Los Osos, CA
National Provider Identifier
1730324674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G83792
- Practice address
- 2728 Rodman Dr
Los Osos, CA 93402-4325 - Phone
- (805) 534-0152
- NPI assigned
- Dec 5, 2008
- Last updated
- Dec 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G83792 | CA | Primary |
Addresses
Primary practice location
2728 Rodman Dr
Los Osos, CA 93402-4325
Mailing address
2728 Rodman Dr
Los Osos, CA 93402-4325
Phone (805) 534-0152
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83792 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1730324674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 RODMAN DR",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934024325",
"telephone_number": "805-534-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 RODMAN DR",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934024325",
"telephone_number": "805-534-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAKE",
"first_name": "JOHN",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G83792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Osos, CA
- Erin Kathleen O'Farrell, AMFT
- Keely Ryan O'Keefe, MS, RDN, LD
- Mary Oneill, L.M
- Pacific Central Coast Health Centers (Medical Clinic at Bayview)
- Rebecca W Pascual, RDN
- Ariana Maria Perez-Mansfield, OTR/L
- Robin A Peterson, D.C.
- Ralphs Grocery Company (Ralphs Pharmacy #271)
- Michelle Ramirez, PT
- Ratchford Dental Practice of Los Osos, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.