Peter G Anderson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A25988 Issued in CA

Practice address

17100 Euclid
Fountain Valley, CA 92708

Phone

(714) 966-7200

NPI assigned

May 20, 2006

Last updated

Oct 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Acute Care Medical Group of Orange Inc

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1396798690
  NPD (past) Authorized official
• Peter Anderson MD Medical Corporation

  dba Emergency Physicians Fountain Valley Medical Group

  • Emergency Medicine Physician
  • Fountain Valley, CA
  • NPI 1659313880
  Authorized official Same address or phone

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1811941198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927280140",
            "telephone_number": "562-809-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-966-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PETER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A25988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A259880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ancova Inc. (Ancova)
• Athena Anderson
• Douglas J Anderson, MD
• Matthew Anderson
• Melanie Glenn Anderson, PA-C
• Tyler Anderson
• Andonian Dental Corp (Fountain Valley Smiles)
• Fidel Andrade, PA
• Andreea Moisiuc DDS Inc.
• Andrew a Ceavatta MD Inc

• Emergency Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.