Peter Fischl, MD, Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A33580 Issued in CA

Legal business name

PETER FISCHL, MD, INC.

Practice address

16130 Kokanee Rd
Ste 104
Apple Valley, CA 92307-0833

Phone

(760) 242-0762

Fax

(760) 242-1803

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter Fischl

Title

President

Phone

(760) 242-0762

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1770746646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 KOKANEE RD",
            "address_2": "STE 104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070833",
            "telephone_number": "760-242-0762",
            "fax_number": "760-242-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 KOKANEE RD",
            "address_2": "STE 104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070833",
            "telephone_number": "760-242-0762",
            "fax_number": "760-242-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER FISCHL, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "FISCHL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-0762",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A33580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A335801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaneekwa Shaunte Perkins, DPM
• Erika Perrine
• Persepolis Group LLC
• Jasmine Persley
• Michael Bart Pesce, MD
• Edward J Peterson
• Laura S Peterson, FNP
• Dana Claudia Petrus, M.D.
• Jimmy Tam Huy Tam Huy Pham, D.O.
• Tu Anh Pham

• Vascular Surgery Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.