Individual provider Active NPI

Erik J Petersen, MD

  • Psychiatry Physician
  • Santa Ana, CA
National Provider Identifier
1922210251
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A137589 Issued in CA
Practice address
999 N Tustin Ave Ste 216
Santa Ana, CA 92705-6506
Phone
(714) 545-5550
Fax
(949) 609-0374
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A137589 CA Primary

Addresses

Primary practice location

999 N Tustin Ave Ste 216
Santa Ana, CA 92705-6506

Mailing address

3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624
Phone (714) 545-5550

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190417001523 CA Practitioner - Psychiatry 5991945446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Neuropsychiatric Specialists IncGroup PAC ID 3375796170, 70 clinicians

Practice addresses (Care Compare)

17822 Beach Blvd
Suite 200
Huntington Beach, CA 92647-7190
Phone (714) 545-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137589CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Neuropsychiatric Specialists Inc. Psychiatry CurrentSince Oct 23, 2023 Accepting new patients
Hoag Hospital Past Accepting new patients
Market Pharmacy LLC PastSince Sep 5, 2023 Accepting new patients
Ananda B. Chellappan Inc Psychiatry Past Accepting new patients

Locations

900 S Main St
Ste 209
Corona, CA 92882
Phone (909) 371-1777

3151 Airway Ave
Ste G1
Costa Mesa, CA 92626
Phone (949) 706-5215

19671 Beach Blvd
Ste 215
Huntington Beach, CA 92648

17822 Beach Blvd
Ste 200
Huntington Beach, CA 92647
Phone (323) 282-5838

1760 Termino Ave
Ste G21
Long Beach, CA 90804
Phone (562) 597-9002

26024 Acero
Mission Viejo, CA 92691
Phone 7145455550809

24100 Monroe Ave
Murrieta, CA 92562
Phone (951) 302-1122

705 W La Veta Ave
Ste 111
Orange, CA 92868
Phone (714) 771-0220

302 W La Veta Ave
Ste 202
Orange, CA 92866
Phone 7145455550810

1310 W Stewart Dr
Ste 306
Orange, CA 92868
Phone (714) 771-1404

999 N Tustin Ave
Ste 216
Santa Ana, CA 92705
Phone (714) 627-9190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1922210251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE G1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264624",
            "telephone_number": "714-545-5550",
            "fax_number": "714-708-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 216",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056506",
            "telephone_number": "714-545-5550",
            "fax_number": "949-609-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ERIK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A137589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.