Individual provider Active NPI

Peter M Aronson, PA-C

  • Physician Assistant
  • Eureka, CA
National Provider Identifier
1891891479
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10446 Issued in CA
Practice address
2280 Harrison Ave
Suite B
Eureka, CA 95501-3200
Phone
(707) 443-9371
NPI assigned
Sep 15, 2006
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10446 CA Primary

Addresses

Primary practice location

2280 Harrison Ave
Suite B
Eureka, CA 95501-3200

Mailing address

2280 Harrison Ave
Suite B
Eureka, CA 95501-3200
Phone (707) 443-9371

Other identifiers 1

IdentifierTypeStateIssuer
0PA104460MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1891891479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 HARRISON AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013200",
            "telephone_number": "707-443-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HARRISON AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013200",
            "telephone_number": "707-443-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONSON",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0PA104460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.