MR. PETER DAVID TANNOUS FNP-C
NPI 1205690773
Nurse Practitioner - Family in San Diego, CA
About Mr. Peter David Tannous Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PETER DAVID TANNOUS FNP-C (NPI 1205690773) is an individual family provider in San Diego, California, licensed in California (95028977) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Peter David Tannous Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Peter Tannous reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92105
- Reassigned Medicare billing, California enrollment
- 102 clinicians in this Medicare group
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 71 clinicians in this Medicare group
Long Beach, CA 90806
- Reassigned Medicare billing, California enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peter Tannous's NPI number?
The NPI number for Peter Tannous is 1205690773. It was assigned to this individual provider in the NPPES registry on February 6, 2024.
Where is Peter Tannous located?
Peter Tannous practices at 4829 Clairemont Dr, San Diego, CA 92117. The listed phone number is (866) 389-2727.
What is Peter Tannous's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Peter Tannous enrolled in Medicare?
Yes. Peter Tannous is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Peter Tannous's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Tannous reassigns Medicare benefits to 4 organizations: La Maestra Family Clinic, Inc. (San Diego, CA), Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA), Minuteclinic Primary Care California (Irvine, CA) and Housecall Doctors Medical Group Inc (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Tannous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Peter Tannous was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Mr. Peter David Tannous, FNP-C · NPI 1205690773
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since February 6, 2024.
## Identity
- **NPI:** 1205690773 (Entity type: Individual)
- **Enumerated:** February 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95028977 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4829 CLAIREMONT DR, San Diego, CA 92117-2706
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): La Maestra Family Clinic, Inc. (NPI 1164167656, San Diego, CA); Minuteclinic Diagnostic Medical Group Of San Diego Inc (NPI 1568659233, El Cajon, CA); Minuteclinic Primary Care California (NPI 1083421614, Irvine, CA); Housecall Doctors Medical Group Inc (NPI 1033164017, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205690773) · Data from the CMS NPPES public registry.