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ELLEN TANNER PETERSON RN, CPNP, MSN
NPI 1295883742
Nurse Practitioner - Pediatrics in Oakland, CA

Active since January 08, 2007
280 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-6779(510) 752-7836 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Tanner Peterson Rn, Cpnp, Msn NPPES

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

ELLEN TANNER PETERSON RN, CPNP, MSN (NPI 1295883742) is an individual pediatrics provider in Oakland, California, licensed in California (333228) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1295883742
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELLEN TANNER PETERSONCredential: RN, CPNP, MSN
Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642
Mailing Address15 Harte AveSan Rafael, CA 94901-5221 · (415) 485-0783
Phone(510) 752-6779
Fax(510) 752-7836
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1295883742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 333228
280 W MACARTHUR BLVD, Oakland, CA 94611
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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.

JESSICA CHANG PHARM.D., APH
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-8859
NORMA MIYEKO MARUBAYASHI HOLLOWAY PHARMD
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6468
DIANA HIROS CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
IVY I. YU MD
Obstetrics & Gynecology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
THERESE M. HICKEY MD
Anesthesiology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
JOHN L. JONES MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNETTE CHENEVEY CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
MRS. MICHELE NG PHARM.D.
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6141

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 Ellen Peterson's NPI number?

The NPI number for Ellen Peterson is 1295883742. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Ellen Peterson located?

Ellen Peterson practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-6779.

What is Ellen Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Ellen Peterson was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.