DR. CONNOR MARK PECK DO
NPI 1285165225
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA
About Dr. Connor Mark Peck Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CONNOR MARK PECK DO (NPI 1285165225) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Connor Mark Peck Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MORENO VALLEY, CA 92555
MORENO VALLEY, CA 92555
MORENO VALLEY, CA 92555
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 Connor Peck's NPI number?
The NPI number for Connor Peck is 1285165225. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Connor Peck located?
Connor Peck practices at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (955) 486-4000.
What is Connor Peck's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Connor Peck enrolled in Medicare?
Yes. Connor Peck is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Connor Peck was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Connor Mark Peck, DO · NPI 1285165225
Student in an Organized Health Care Education/Training Program provider in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1285165225 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 26520 CACTUS AVE, Moreno Valley, CA 92555-3927
- **Phone:** (955) 486-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 7, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1285165225) · Data from the CMS NPPES public registry.