Larry Scott Petersen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5733 Issued in CA

Practice address

31 Winham St
Salinas, CA 93901-3314

Phone

(831) 771-0244

Fax

(831) 771-0243

NPI assigned

Aug 22, 2005

Last updated

Sep 14, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1942292321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WINHAM ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013314",
            "telephone_number": "831-771-0244",
            "fax_number": "831-771-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WINHAM ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013314",
            "telephone_number": "831-771-0244",
            "fax_number": "831-771-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "LARRY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Marie Perlman
• David Henry Perrott, MD, DDS
• Kelsie Perry
• Eva Maria Perusquia Frias, MD
• Peter Yang, DDS, Inc.
• Eric Charles Gonzales Peterson, DPT
• Misty Lee Peterson, SOCIAL WORKER
• Richard Stephen Peterson, LMFT
• Sarah Diane Anderson Peterson, LVN
• Stephen Peterson, MSW

• Family Medicine Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.