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JEANNETTE PETERSON MD INC
NPI 1194735811
Clinic/Center - Primary Care in Fairfield, CA

Active since August 08, 2006
1261 TRAVIS BLVD, SUITE 100, FAIRFIELD, CA 94533(707) 422-0543(707) 422-0549 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannette Peterson Md Inc NPPES

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

JEANNETTE PETERSON MD INC (NPI 1194735811) is a healthcare organization registered as a primary care in Fairfield, California and active in the NPI registry since August 2006. The organization lists Jeannette Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1194735811
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJEANNETTE PETERSON MD INC
Location Address1261 TRAVIS BLVD, SUITE 100Fairfield, CA 94533-4897
Mailing Address1261 Travis Blvd, Suite 100Fairfield, CA 94533-4897 · (707) 422-0543 · Fax (707) 422-0549
Phone(707) 422-0543
Fax(707) 422-0549
Organization SubpartNo
Authorized OfficialJeannette PetersonPresident · (707) 422-0543
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 18, 2011
✔ NPI 1194735811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A76492
1261 TRAVIS BLVD, Fairfield, CA 94533
Open in Google Maps ↗

Other Identifiers 2

Medicare PINZZZ27101ZCA
Medicare UPINH96125CA

Other Providers at the Same Location NPPES 16

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

LYUBOV LUPYAN-TEYTELMAN P.A.
Physician Assistant
1261 TRAVIS BLVD, SUITE 170
FAIRFIELD, CA 94533
Solano County (707) 399-9200
DR. JEANNETTE PETERSON M.D.
Internal Medicine
1261 TRAVIS BLVD, SUITE 100
FAIRFIELD, CA 94533
Solano County (707) 422-0543
NALLS FOUNDATION
Residential Treatment Facility, Emotionally Disturbed Children
1261 TRAVIS BLVD, SUITE 240
FAIRFIELD, CA 94533
Solano County (707) 389-4804
SIERRA BONE
Speech-Language Pathologist
1261 TRAVIS BLVD
FAIRFIELD, CA 94533
Solano County (707) 344-1771
JAYESH J PATEL MD
Internal Medicine
1261 TRAVIS BLVD, STE. 320
FAIRFIELD, CA 94533
Solano County (707) 423-2506
MILIND DHOND MD INC
Internal Medicine (Cardiovascular Disease)
1261 TRAVIS BLVD, SUITE 200
FAIRFIELD, CA 94533
Solano County (707) 426-4696
MELISSA SARAH HAWKS PAC
Physician Assistant (Medical)
1261 TRAVIS BLVD, #150
FAIRFIELD, CA 94533
Solano County (707) 426-5407
MRS. MARGARET SMITH LA ROCHELLE RPT
Specialist
1261 TRAVIS BLVD, SUITE 190
FAIRFIELD, CA 94533
Solano County (707) 427-5029

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 Jeannette Peterson MD Inc's NPI number?

The NPI number for Jeannette Peterson MD Inc is 1194735811. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Jeannette Peterson MD Inc located?

Jeannette Peterson MD Inc is located at 1261 Travis Blvd Suite 100, Fairfield, CA 94533. The listed phone number is (707) 422-0543.

What is Jeannette Peterson MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jeannette Peterson MD Inc was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.