1. Home
  2. Directory
  3. California
  4. San Diego
  5. Obstetrics Gynecology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SANDRA ROSE PETERSEN M.D.
NPI 1295795672
Obstetrics & Gynecology in San Diego, CA

Active since March 28, 2006
4060 4TH AVE, SUITE 610, SAN DIEGO, CA 92103(619) 497-2430(619) 299-1723 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandra Rose Petersen M.d. NPPES

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

DR. SANDRA ROSE PETERSEN M.D. (NPI 1295795672) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (G051961) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1295795672
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SANDRA ROSE PETERSENCredential: M.D.
Location Address4060 4TH AVE, SUITE 610San Diego, CA 92103-2116
Mailing Address4060 4th Ave, Suite 610San Diego, CA 92103-2116 · (619) 497-2430 · Fax (619) 299-1723
Phone(619) 497-2430
Fax(619) 299-1723
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1295795672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G051961
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4060 4TH AVE, San Diego, CA 92103
Open in Google Maps ↗

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.

ERIN DWYER N.P.-C
Nurse Practitioner (Family)
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
San Diego County (619) 297-4707
MRS. CHRISTIN ROSE BAWA ATC, PA-C
Physician Assistant
4060 4TH AVE, 7TH FLOOR
SAN DIEGO, CA 92103
San Diego County (619) 686-8313
SARAH JEAN WYLES
Physical Therapist
4060 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 607-3023
SUJA DEVI DUBOIS MD
Internal Medicine (Gastroenterology)
4060 4TH AVE, #240
SAN DIEGO, CA 92103
San Diego County (619) 291-6064
SCRIPPS CLINIC MEDICAL GROUP
Clinic/Center (Multi-Specialty)
4060 4TH AVE, 508
SAN DIEGO, CA 92103
San Diego County (619) 497-6192
DR. JOHN J MARTIN MD
Urology
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
San Diego County (619) 297-4707
SUZANNE MARIE HONEYCUTT PT
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
San Diego County (619) 299-5246
CARRIE BITSKO A.T.C.
Specialist/Technologist (Athletic Trainer)
4060 4TH AVE, SUITE 105
SAN DIEGO, CA 92103
San Diego County (619) 299-5246

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 Sandra Petersen's NPI number?

The NPI number for Sandra Petersen is 1295795672. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Sandra Petersen located?

Sandra Petersen practices at 4060 4th Ave Suite 610, San Diego, CA 92103. The listed phone number is (619) 497-2430.

What is Sandra Petersen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Sandra Petersen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.