KENNETH PERCY PETERSON, MD, INC.
NPI 1184015380
General Acute Care Hospital in Victorville, CA

Active since February 10, 2015
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395(760) 241-8000 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Percy Peterson, Md, Inc. NPPES

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

KENNETH PERCY PETERSON, MD, INC. (NPI 1184015380) is a healthcare organization registered as a general acute care hospital in Victorville, California and active in the NPI registry since February 2015. The organization lists Kenneth Percy Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1184015380
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameKENNETH PERCY PETERSON, MD, INC.
Location Address16850 BEAR VALLEY RDVictorville, CA 92395-5794
Mailing Address12155 Mesquite StOak Hills, CA 92344-7903 · (805) 796-4595 · Fax (760) 662-5711
Organization SubpartNo
Authorized OfficialKenneth Percy PetersonPresident · (805) 796-4595
Enumeration DateFebruary 10, 2015
NPI 1184015380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in CA · C50553
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

16850 BEAR VALLEY RD, Victorville, CA 92395

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.

Internal Medicine
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Nurse Practitioner (Family)
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Internal Medicine
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Physician Assistant
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Student in an Organized Health Care Education/Training Program
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Pharmacist
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Family Medicine
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Nurse Practitioner
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395

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 Kenneth Percy Peterson, MD, Inc.'s NPI number?

The NPI number for Kenneth Percy Peterson, MD, Inc. is 1184015380. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Kenneth Percy Peterson, MD, Inc. located?

Kenneth Percy Peterson, MD, Inc. is located at 16850 Bear Valley Rd, Victorville, CA 92395. The listed phone number is (760) 241-8000.

What is Kenneth Percy Peterson, MD, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Percy Peterson, MD, Inc. was last updated on February 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.