MICHAEL PETERS
NPI 1134571235
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since July 13, 2016
2830 TUSCALOOSA ST, SAN DIEGO, CA 92110(602) 502-4991 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Peters NPPES

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

MICHAEL PETERS (NPI 1134571235) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1134571235
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMICHAEL PETERS
Location Address2830 TUSCALOOSA STSan Diego, CA 92110-4264
Mailing Address2830 Tuscaloosa StSan Diego, CA 92110-4264 · (602) 502-4991
Sole ProprietorNo
Enumeration DateJuly 13, 2016
NPI 1134571235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
2830 TUSCALOOSA ST, San Diego, CA 92110

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 Michael Peters's NPI number?

The NPI number for Michael Peters is 1134571235. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Michael Peters located?

Michael Peters practices at 2830 Tuscaloosa St, San Diego, CA 92110. The listed phone number is (602) 502-4991.

What is Michael Peters's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Peters was last updated on July 13, 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.