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DR. DOUGLAS CHARLES PETERSON MD
NPI 1174739288
General Practice in Elk Grove, CA

Active since May 15, 2007
9260 LAGUNA SPRINGS DR, SUITE E2-308, ELK GROVE, CA 95758(916) 691-9574 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas Charles Peterson Md NPPES

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

DR. DOUGLAS CHARLES PETERSON MD (NPI 1174739288) is an individual general practice provider in Elk Grove, California, licensed in California (G42408) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1174739288
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DOUGLAS CHARLES PETERSONCredential: MD
Location Address9260 LAGUNA SPRINGS DR, SUITE E2-308Elk Grove, CA 95758-7947
Mailing AddressPo Box 588500, Suite E2-308Elk Grove, CA 95758-8500 · (916) 691-9574
Phone(916) 691-9574
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateApril 22, 2013
✔ NPI 1174739288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G42408
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License G42408 (CA)
Also ListedLegal MedicineTaxonomy 209800000X · License G42408 (CA)
9260 LAGUNA SPRINGS DR, Elk Grove, CA 95758
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Other Providers at the Same Location NPPES 6

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

RACHEL ANDERSON DO
Family Medicine
9260 LAGUNA SPRINGS DR
ELK GROVE, CA 95758
Sacramento County (279) 223-1500
DIANE MARIE O'LAUGHLIN RN, PHN, FNP
Nurse Practitioner (Family)
9260 LAGUNA SPRINGS DR
ELK GROVE, CA 95758
Sacramento County (916) 294-0706
CHARLOTTE WHEELER MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
9260 LAGUNA SPRINGS DR, CCHCS PUBLIC HEALTH UNIT
ELK GROVE, CA 95758
Sacramento County (916) 261-5519
DR. ARUN KUMAR VASUDEVA MD
Hospitalist
9260 LAGUNA SPRINGS DR, SUITE 302
ELK GROVE, CA 95758
Sacramento County (916) 216-4743
BARBARA BARNEYKNOX RN
Registered Nurse
9260 LAGUNA SPRINGS DR, BLDG E
ELK GROVE, CA 95758
Sacramento County (916) 691-2633
TAMMY L. MORIN MD
Hospitalist
9260 LAGUNA SPRINGS DR
ELK GROVE, CA 95758
Sacramento County (916) 691-9801

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 Douglas Peterson's NPI number?

The NPI number for Douglas Peterson is 1174739288. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Douglas Peterson located?

Douglas Peterson practices at 9260 Laguna Springs Dr Suite E2-308, Elk Grove, CA 95758. The listed phone number is (916) 691-9574.

What is Douglas Peterson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Douglas Peterson was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.