Michael Blair Peterson, M.D.

Surgery Physician · San Leandro, CA

Individual Active NPI

NPI number 1255419024

Practice location

2500 Merced St
San Leandro, CA 94577-4201
Phone
(510) 454-1000

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NPI record

NPI
1255419024
Entity type
Individual (Type 1)
Enumeration date
November 1, 2006
Last updated
July 14, 2022
Certified
July 14, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X G45972 CA
General Practice Physician 208D00000X G45972 CA

Mailing address

1320 El Capitan Dr
Ste 120
Danville, CA 94526-6260
Phone
(925) 334-5800
Fax
(925) 689-3102

About Dr. Peterson

Michael Blair Peterson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2500 Merced St, San Leandro, CA 94577-4201. The NPI number 1255419024 was assigned on November 1, 2006 and the record was last updated on July 14, 2022.

Dr. Peterson lists 2 licenses in the registry: #G45972 (CA) for Surgery Physician; #G45972 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Blair Peterson, M.D.?

The NPI number is 1255419024.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (510) 454-1000.

Where is Dr. Peterson located?

2500 Merced St, San Leandro, CA 94577-4201.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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