Active NPI
Erik J Petersen, MD
- Psychiatry Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A137589
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A137589 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Neuropsychiatric Specialists Inc. | Psychiatry | Current | Accepting new patients |
| Hoag Hospital | Past | Accepting new patients | |
| Market Pharmacy LLC | Past | 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.
-
- Psychiatry Physician
- Costa Mesa, CA
- NPI 1356685218
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
dba Mental Wellness Center
- Psychiatry Physician
- Richmond, VA
- NPI 1730448358
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.