STACY PETERSEN MEDICAL GROUP, P.C.
NPI 1194677955
Ophthalmology in Riverside, CA
NPI Status: Active since February 12, 2026
Contact Information
4445 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92501
Phone: (949) 991-4172
Fax: (949) 288-0429
- Organization
- Ophthalmology
About STACY PETERSEN MEDICAL GROUP, P.C.
This page provides the complete NPI Profile along with additional information for Stacy Petersen Medical Group, P.c., a provider established in Riverside, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1194677955 assigned on February 2026. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated February 2026. Stacy Petersen Medical Group, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stacy Difley Np (Secretary)
- NPI
- 1194677955
- Provider Name
- STACY PETERSEN MEDICAL GROUP, P.C.
- Entity Type
- Organization
- Location Address
- 4445 MAGNOLIA AVE RIVERSIDE, CA 92501
- Location Phone
- (949) 991-4172
- Location Fax
- (949) 288-0429
- Mailing Address
- 26791 ALISO CREEK RD # 1018 ALISO VIEJO, CA 92656
- Mailing Fax
- (949) 288-0429
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2026
- Last Update Date
- 02-12-2026
- Code Navigator
Ophthalmologists like Stacy Petersen Medical Group, P.c. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194677955, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194677955, enumerated as an "organization" on February 12, 2026.
The provider is located at 4445 MAGNOLIA AVE RIVERSIDE, CA 92501 and the phone number is (949) 991-4172.
Ophthalmology with taxonomy code 207W00000X.
