Active NPI
Alan Raymond Peter, M.D.
- Rheumatology Physician
- Ventura, CA
National Provider Identifier
1881690089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G28070
- Practice address
- 4080 Loma Vista Road
Suite J
Ventura, CA 93003-1811 - Phone
- (805) 658-6744
- Fax
- (805) 658-7231
- NPI assigned
- Jun 22, 2005
- Last updated
- Jan 25, 2012
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G28070 | CA | Primary |
Addresses
Primary practice location
4080 Loma Vista Road
Suite J
Ventura, CA 93003-1811
Mailing address
4080 Loma Vista Road
Suite J
Ventura, CA 93003-1811
Phone (805) 658-6744
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G28070 | Other | CA | MEDICAL LICENSE |
| 00G2807000 | Medicaid | CA | |
| 953144247 | Other | CA | TAX ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1881690089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 LOMA VISTA ROAD",
"address_2": "SUITE J",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031811",
"telephone_number": "805-658-6744",
"fax_number": "805-658-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 LOMA VISTA ROAD",
"address_2": "SUITE J",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031811",
"telephone_number": "805-658-6744",
"fax_number": "805-658-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETER",
"first_name": "ALAN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G28070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G28070",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G2807000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "953144247",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- David T Perlmutter, MD
- Mark Steven Perry, LCSW
- Kathleen Hagerty Pestrella, LCSW
- Peter L Karlsberg Mda Medical Corporation (The Center For Restorative Dermatology)
- Peter L. Karlsberg, M.D. a Medical Corporation (The Center for Restorative Dermatology)
- Arthur Stanley Peters, M.D.
- Michelle Marie Peters, PT
- Dane K Petersen, NP
- Jennifer K Peterson
- Kaylee Peterson, M.S., PPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.