DR. KELSEY CARL PETERSON JR. M.D.
NPI 1033281019
Specialist in Huntington Beach, CA

Q: What is Kelsey Peterson's NPI number?

The NPI number for Kelsey Peterson is 1033281019. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Kelsey Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Peterson was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since November 14, 2006

17742 BEACH BLVD, 245, HUNTINGTON BEACH, CA 92647(714) 329-0179(714) 965-0311 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kelsey Carl Peterson Jr. M.d. NPPES

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

DR. KELSEY CARL PETERSON JR. M.D. (NPI 1033281019) is an individual specialist in Huntington Beach, California, licensed in California (G17592) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1033281019

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. KELSEY CARL PETERSON JR.Credential: M.D.

Location Address17742 BEACH BLVD, 245Huntington Beach, CA 92647-6818

Mailing Address20462 Kenworth CirHuntington Beach, CA 92646-5446 · (714) 329-0179 · Fax (714) 965-0311

Phone(714) 329-0179

Fax(714) 965-0311

Sole ProprietorYes

Enumeration DateNovember 14, 2006

Last NPPES UpdateMarch 15, 2016

✔ NPI 1033281019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G17592

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.

17742 BEACH BLVD, Huntington Beach, CA 92647

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

CALIFORNIA AESTHETIC CENTER A MEDICAL CORPORATION

Plastic Surgery

17742 BEACH BLVD, SUITE 335
HUNTINGTON BEACH, CA 92647

Orange County (714) 848-1133

ROZITA POUROUSHASB M.D.

Pediatrics

17742 BEACH BLVD, SUITE 360
HUNTINGTON BEACH, CA 92647

Orange County (714) 848-0868

VIPAL SONI M.D.

Dermatology

17742 BEACH BLVD, SUITE #325
HUNTINGTON BEACH, CA 92647

Orange County (714) 848-0770

DR. MARY ANNETTE COTE M.D.

Ophthalmology

17742 BEACH BLVD, SUITE 305
HUNTINGTON BEACH, CA 92647

Orange County (714) 596-4488

BASSIL AISH MD

Family Medicine

17742 BEACH BLVD, STE 215
HUNTINGTON BEACH, CA 92647

Orange County (714) 848-1655

DR. JOHANNA DUBYAK M.D.

Obstetrics & Gynecology

17742 BEACH BLVD, SUITE 345
HUNTINGTON BEACH, CA 92647

Orange County (714) 841-9899

PAUL ALAN REGGIARDO D.D.S.

Dentist (Pediatric Dentistry)

17742 BEACH BLVD, SUITE 320
HUNTINGTON BEACH, CA 92647

Orange County (714) 848-0234

SURF CITY PEDS

Pediatrics (Adolescent Medicine)

17742 BEACH BLVD, SUITE 240
HUNTINGTON BEACH, CA 92647

Orange County (714) 842-0444

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 Kelsey Peterson's NPI number?

The NPI number for Kelsey Peterson is 1033281019. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Kelsey Peterson located?

Kelsey Peterson practices at 17742 Beach Blvd 245, Huntington Beach, CA 92647. The listed phone number is (714) 329-0179.

What is Kelsey Peterson'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 Kelsey Peterson was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.