DR. PAMELA O PETERSEN M.D.
NPI 1255430716
Pediatrics in Davis, CA

Active since September 21, 2006
2330 W COVELL BLVD, DAVIS, CA 95616(530) 756-2364(530) 756-5817 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pamela O Petersen M.d. NPPES

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

DR. PAMELA O PETERSEN M.D. (NPI 1255430716) is an individual pediatrics provider in Davis, California, licensed in California (A49282) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1255430716
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PAMELA O PETERSENCredential: M.D.
Location Address2330 W COVELL BLVDDavis, CA 95616-5658
Mailing Address2330 W Covell BlvdDavis, CA 95616-5658 · (530) 756-2364
Fax(530) 756-5817
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 6, 2008
NPI 1255430716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A49282
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2330 W COVELL BLVD, Davis, CA 95616

Other Names 1

Former Name (1)Miss Pamela Jane Oldham

Other Identifiers 2

Medicaid00A492820CA
Other00A492820CA · Blue Shield

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.

Family Medicine
2330 W COVELL BLVD
DAVIS, CA 95616
Physician Assistant (Medical)
2330 W COVELL BLVD
DAVIS, CA 95616
Family Medicine
2330 W COVELL BLVD
DAVIS, CA 95616
Nurse Practitioner (Family)
2330 W COVELL BLVD
DAVIS, CA 95616
Family Medicine
2330 W COVELL BLVD
DAVIS, CA 95616
Family Medicine
2330 W COVELL BLVD
DAVIS, CA 95616
Family Medicine
2330 W COVELL BLVD
DAVIS, CA 95616
Pediatrics
2330 W COVELL BLVD, WOODLAND HEALTHCARE DAVIS
DAVIS, CA 95616

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 Pamela Petersen's NPI number?

The NPI number for Pamela Petersen is 1255430716. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Miss Pamela Jane Oldham.

Where is Pamela Petersen located?

Pamela Petersen practices at 2330 W Covell Blvd, Davis, CA 95616. The listed phone number is (530) 756-2364.

What is Pamela Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pamela Petersen was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.