PETER M. MAZZARESE P.A.
NPI 1124099387
Physician Assistant in San Diego, CA
About Peter M. Mazzarese P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER M. MAZZARESE P.A. (NPI 1124099387) is an individual physician assistant in San Diego, California, licensed in California (PA16565) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Peter M. Mazzarese P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peter Mazzarese's NPI number?
The NPI number for Peter Mazzarese is 1124099387. It was assigned to this individual provider in the NPPES registry on January 27, 2006.
Where is Peter Mazzarese located?
Peter Mazzarese practices at 5555 Reservoir Dr Ste 203, San Diego, CA 92120. The listed phone number is (619) 229-3340.
What is Peter Mazzarese's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Peter Mazzarese enrolled in Medicare?
Yes. Peter Mazzarese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Peter Mazzarese was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Peter M. Mazzarese, P.A. · NPI 1124099387
Physician Assistant physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1124099387 (Entity type: Individual)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA16565 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 RESERVOIR DR STE 203, San Diego, CA 92120-5115
- **Phone:** (619) 229-3340 · **Fax:** (619) 229-3341
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 13, 2021
- **Other identifiers:** Medicaid PA16565 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124099387) · Data from the CMS NPPES public registry.