DAVID JOHN PETERSEN MD
NPI 1508932906
General Practice in Van Nuys, CA
About David John Petersen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID JOHN PETERSEN MD (NPI 1508932906) is an individual general practice provider in Van Nuys, California, licensed in California (G60655) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David John Petersen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show David Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Palm Springs, CA 92262
- Reassigned Medicare billing, California enrollment
- 167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
VAN NUYS, CA 91405
VAN NUYS, CA 91405
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 David Petersen's NPI number?
The NPI number for David Petersen is 1508932906. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is David Petersen located?
David Petersen practices at 14600 Sherman Way Suite 300, Van Nuys, CA 91405. The listed phone number is (818) 781-7097.
What is David Petersen's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is David Petersen enrolled in Medicare?
Yes. David Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for David Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Petersen reassigns Medicare benefits to 2 organizations: Healthcare Partners Affiliates Medical Group (Los Angeles, CA) and Desert Medical Group, Inc. (Palm Springs, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Petersen was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# David John Petersen, MD · NPI 1508932906
General Practice physician in Van Nuys, California. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1508932906 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** G60655 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14600 SHERMAN WAY, SUITE 300, Van Nuys, CA 91405
- **Phone:** (818) 781-7097 · **Fax:** (818) 904-0531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healthcare Partners Affiliates Medical Group (NPI 1659312593, Los Angeles, CA); Desert Medical Group, Inc. (NPI 1114918612, Palm Springs, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** January 9, 2014
- **Other identifiers:** Medicare UPIN E25300
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Source: [NPI Profile](https://npiprofile.com/npi/1508932906) · Data from the CMS NPPES public registry.