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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GRACE C. PETTERSON MD
NPI 1013964980
Specialist in San Pedro, CA

Active since May 27, 2006
1294 W 6TH ST, STE#102, SAN PEDRO, CA 90731(310) 832-6487(310) 832-6913 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace C. Petterson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRACE C. PETTERSON MD (NPI 1013964980) is an individual specialist in San Pedro, California, licensed in California (A34440) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013964980
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. GRACE C. PETTERSONCredential: MD
Location Address1294 W 6TH ST, STE#102San Pedro, CA 90731-2987
Mailing Address1294 W 6th St, Ste#102San Pedro, CA 90731-2987 · (310) 832-6487 · Fax (310) 832-6913
Phone(310) 832-6487
Fax(310) 832-6913
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013964980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A34440
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1294 W 6TH ST, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BORROWED STAR PSYCHOLOGY GROUP, INC
Psychologist (Clinical)
1294 W 6TH ST, SUITE 105
SAN PEDRO, CA 90731
Los Angeles County (310) 902-6089
KIMBERLY R WALTON MD INC
Obstetrics & Gynecology (Obstetrics)
1294 W 6TH ST, 201-A
SAN PEDRO, CA 90731
Los Angeles County (310) 831-6515
SAN PEDRO PEDIATRICS MED GRP INC
Pediatrics
1294 W 6TH ST, STE #102
SAN PEDRO, CA 90731
Los Angeles County (310) 832-6487
MICHAEL T O'DONNELL DPT, OCS
Physical Therapist
1294 W 6TH ST, SUITE 101
SAN PEDRO, CA 90731
Los Angeles County (310) 547-1850
MICHAEL CULMER M.D.
Pediatrics
1294 W 6TH ST, SUITE 104
SAN PEDRO, CA 90731
Los Angeles County (321) 054-8911
DR. ANDREW P NOVOM MD
Specialist
1294 W 6TH ST, STE#102
SAN PEDRO, CA 90731
Los Angeles County (310) 832-6487
GENESA WAGONER M.D.
Pediatrics
1294 W 6TH ST, SUITE 104
SAN PEDRO, CA 90731
Los Angeles County (310) 548-9118
DR. PRISCILLA S NOVOM MD
Specialist
1294 W 6TH ST, STE#102
SAN PEDRO, CA 90731
Los Angeles County (310) 832-6487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Petterson's NPI number?

The NPI number for Grace Petterson is 1013964980. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Grace Petterson located?

Grace Petterson practices at 1294 W 6th St Ste#102, San Pedro, CA 90731. The listed phone number is (310) 832-6487.

What is Grace Petterson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Grace Petterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.