Sidney Petersen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9356878 Issued in FL

Practice address

525 21St St
Oakland, CA 94612-1605

Phone

(415) 218-6752

NPI assigned

Sep 4, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1831008853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 21ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121605",
            "telephone_number": "510-587-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 21ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121605",
            "telephone_number": "415-218-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SIDNEY",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95091999",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9356878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Allen Peters, DC
• Felisa Petersen
• Glen W. Petersen, M.D.
• Melanie Dianne Petersen
• Scott J. Petersen, MD
• Audrey Lauren Peterson, D.D.S.
• Ayannah Nichole Peterson
• Caroline Alston Peterson, D.M.D.
• Chad Peterson, RNFA
• Dagnija M Peterson, P.T.

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.