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, and ordering and referring status from the CMS PECOS system.
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.
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.
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 5 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
- **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.