Salvatore Petersen, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

545718 Issued in CA

Practice address

103 Bodin Cir
Fairfield, CA 94535-1801

Phone

(707) 437-1802

NPI assigned

Jun 3, 2017

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972031987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "545718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell H. Perry, D.O.
• Vikaash Persad, DO
• Personal Hearing Solutions
• John Edward Peters, PHD
• Gunilla H M Petersen-Billings, OTR, CHT
• Trease Marie Petersen
• Ashley Peterson
• Ebony Nicole Peterson
• Izaree Peterson
• Jeannette Peterson, M.D.

• General Practice Registered Nurse in Fairfield, CA
• Providers in Fairfield, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.