DR. KELSEY CARL PETERSON JR. M.D.
NPI 1033281019
Specialist in Huntington Beach, CA
NPI Status: Active since November 14, 2006
Contact Information
17742 BEACH BLVD
245
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 329-0179
Fax: (714) 965-0311
- Individual
- Male
- Specialist
- PECOS Enrolled
About KELSEY PETERSON
This page provides the complete NPI Profile along with additional information for Kelsey Peterson, a provider established in Huntington Beach, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1033281019 assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number G17592 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1033281019
- Provider Name
- DR. KELSEY CARL PETERSON JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17742 BEACH BLVD 245 HUNTINGTON BEACH, CA 92647
- Location Phone
- (714) 329-0179
- Location Fax
- (714) 965-0311
- Mailing Address
- 20462 KENWORTH CIR HUNTINGTON BEACH, CA 92646
- Mailing Phone
- (714) 329-0179
- Mailing Fax
- (714) 965-0311
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-14-2006
- Last Update Date
- 03-15-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G17592
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Kelsey Peterson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 26 times for 13 patientsReviews for DR. KELSEY CARL PETERSON JR. M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033281019, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033281019, enumerated as an "individual" on November 14, 2006.
The provider is located at 17742 BEACH BLVD 245 HUNTINGTON BEACH, CA 92647 and the phone number is (714) 329-0179.
Specialist with taxonomy code 174400000X.
