Allen Hermann Peters, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G16945 Issued in CA

Practice address

819 N Harbor Dr
Suite 310
Redondo Beach, CA 90277-2006

Phone

(310) 373-7830

Fax

(310) 373-7840

NPI assigned

Jul 27, 2006

Last updated

Mar 12, 2015By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive Medicine

Education

University of Southern California Keck School of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Nourishing Wellness Inc

  • Internal Medicine Physician
  • Redondo Beach, CA
  • NPI 1336321520
  Medicare reassignment Authorized official
• Nourishing Wellness Medical Center

  • Public Health & General Preventive Medicine Physician
  • Redondo Beach, CA
  • NPI 1164466884
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1881608909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N HARBOR DR",
            "address_2": "SUITE 310",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772006",
            "telephone_number": "310-373-7830",
            "fax_number": "310-373-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N HARBOR DR",
            "address_2": "SUITE 310",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772006",
            "telephone_number": "310-373-7830",
            "fax_number": "310-373-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ALLEN",
        "middle_name": "HERMANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G16945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lida Angelica Perez
• Montserrat Perez
• Wendy Stefany Perez
• Perinatal Support Services LLC (The Mother Nurture Network)
• Samantha Perlman
• Jeanne Peters, R.D.
• Zamia Brielle Peters
• Tuyet Bach Phan, A.T.C.
• Cecilia Pho, PPS
• Physical Therapy Concierge Service Inc

• Public Health & General Preventive Medicine Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.