Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TODD BAILEY PETERSON M.D.
NPI 1386640548
Colon & Rectal Surgery in San Diego, CA

Q: What is Todd Peterson's NPI number?

The NPI number for Todd Peterson is 1386640548. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Todd Peterson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Peterson 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 39 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.

Active since June 22, 2005

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7577(619) 532-7673 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Todd Bailey Peterson M.d. NPPES

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

TODD BAILEY PETERSON M.D. (NPI 1386640548) is an individual colon & rectal surgery provider in San Diego, California, licensed in California (G83455) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1386640548

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameTODD BAILEY PETERSONCredential: M.D.

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address197 Carnation AveImperial Beach, CA 91932-1007 · (619) 423-4972

Phone(619) 532-7577

Fax(619) 532-7673

Sole ProprietorNo

Enumeration DateJune 22, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1386640548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in CA · G83455

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License G83455 (CA)

34800 BOB WILSON DR, San Diego, CA 92134

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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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)