DAVID JOHN PETERSEN MD
NPI 1508932906
General Practice in Van Nuys, CA

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
14600 SHERMAN WAY, SUITE 300, VAN NUYS, CA 91405(818) 781-7097(818) 904-0531 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1508932906
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDAVID JOHN PETERSENCredential: MD
Location Address14600 SHERMAN WAY, SUITE 300Van Nuys, CA 91405
Mailing Address68 708 Avenida DiosaCathedral City, CA 92234 · (818) 781-7097 · Fax (818) 904-0531
Fax(818) 904-0531
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1986
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 9, 2014
NPI 1508932906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G60655
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14600 SHERMAN WAY, Van Nuys, CA 91405

Other Identifiers 1

Medicare UPINE25300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9032276738
PECOS Enrollment IDI20090325000152
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services41 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
11 services11 patients

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.

Physician Assistant
14600 SHERMAN WAY, 300
VAN NUYS, CA 91405
Acupuncturist
14600 SHERMAN WAY, SUITE 300
VAN NUYS, CA 91405
Family Medicine
14600 SHERMAN WAY, SUITE 300
VAN NUYS, CA 91405
Licensed Vocational Nurse
14600 SHERMAN WAY, #100 D
VAN NUYS, CA 91405
Family Medicine
14600 SHERMAN WAY, SUITE 215
VAN NUYS, CA 91405
Podiatrist (Foot & Ankle Surgery)
14600 SHERMAN WAY, SUITE 210
VAN NUYS, CA 91405
Internal Medicine
14600 SHERMAN WAY
VAN NUYS, CA 91405
Dietitian, Registered
14600 SHERMAN WAY
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.

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.