John Peterson

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Practice address

23649 Castle Rock
Mission Viejo, CA 92692-1897

Phone

(949) 923-0554

NPI assigned

Nov 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Club DME

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
  • NPI 1710246459
  NPD Authorized official
• Skout Source

  • Pharmacy
  • Cottonwood Heights, UT
  • NPI 1043950561
  NPD Authorized official

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1740567437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23649 CASTLE ROCK",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23649 CASTLE ROCK",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921897",
            "telephone_number": "949-923-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Junn Persons, DNP, FNP-C
• Tiffany Irene Pesch, MA
• Kayla Peterman
• Celeste Lee Peters, MFT
• Deeann Peterson, LMFT
• Barbara Irene Petty, M.D.
• Stephen Marrs Petty, M.D.
• Monica M Petz
• Mayssa Vanh Peunemany
• PG Anesthesia LLC

• Oxygen Equipment & Supplies (DME) in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.