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B D PETERSON MD INC
NPI 1114232204
Family Medicine in Escalon, CA

Active since August 12, 2010
2390 JACKSON AVE, ESCALON, CA 95320(209) 838-6015(209) 838-0750 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About B D Peterson Md Inc NPPES

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

B D PETERSON MD INC (NPI 1114232204) is a healthcare organization registered as a family medicine in Escalon, California and active in the NPI registry since August 2010. The organization lists Bob D Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1114232204
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameB D PETERSON MD INC
Location Address2390 JACKSON AVEEscalon, CA 95320-2078
Mailing Address2390 Jackson AveEscalon, CA 95320-2078 · (209) 838-6015 · Fax (209) 838-0750
Phone(209) 838-6015
Fax(209) 838-0750
Organization SubpartNo
Authorized OfficialBob D PetersonPresident · (209) 838-6015
Enumeration DateAugust 12, 2010
✔ NPI 1114232204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G66903
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2390 JACKSON AVE, Escalon, CA 95320
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Other Identifiers 2

Medicare PIN00G669030CA
Medicare UPINF21959CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. BOBBY DEAN PETERSON M.D.
Family Medicine
2390 JACKSON AVE
ESCALON, CA 95320
San Joaquin County (209) 838-6015

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 B D Peterson MD Inc's NPI number?

The NPI number for B D Peterson MD Inc is 1114232204. It was assigned to this organization in the NPPES registry on August 12, 2010.

Where is B D Peterson MD Inc located?

B D Peterson MD Inc is located at 2390 Jackson Ave, Escalon, CA 95320. The listed phone number is (209) 838-6015.

What is B D Peterson MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for B D Peterson MD Inc was last updated on August 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.