Active NPI
William Alvin Peitz
- Pharmacist
- San Diego, CA
National Provider Identifier
1770883241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30592
- Practice address
- 2495 Truxtun Rd
San Diego, CA 92106 - Phone
- (619) 758-9004
- NPI assigned
- Oct 29, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30592 | CA | Primary |
Addresses
Primary practice location
2495 Truxtun Rd
San Diego, CA 92106
Mailing address
2465 La Cresta Rd
El Cajon, CA 92021
Phone (619) 588-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WAPEIT00 | Other | CA | 18-PHARMACY SERVICE PROVIDER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30592 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1770883241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 LA CRESTA RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "92021",
"telephone_number": "619-588-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 TRUXTUN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92106",
"telephone_number": "619-758-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEITZ",
"first_name": "WILLIAM",
"middle_name": "ALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-29",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "30592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "18-PHARMACY SERVICE PROVIDER",
"identifier": "WAPEIT00",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.