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

NPI Status: Active since November 28, 2006

Contact Information

14600 SHERMAN WAY
SUITE 300
VAN NUYS, CA
ZIP 91405
Phone: (818) 781-7097
Fax: (818) 904-0531

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  • Individual
  • Male
  • Years of Experience 40
  • General Practice
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DAVID PETERSEN

This page provides the complete NPI Profile along with additional information for David Petersen, a primary care provider established in Van Nuys, California with a medical specialization in General Practice and more than 40 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 1986. The healthcare provider is registered in the NPI registry with number 1508932906 assigned on November 2006. The practitioner's primary taxonomy code is 208D00000X with license number G60655 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1508932906
Provider Name
DAVID JOHN PETERSEN MD
Gender
Male
Entity Type
Individual
Location Address
14600 SHERMAN WAY SUITE 300 VAN NUYS, CA 91405
Location Phone
(818) 781-7097
Location Fax
(818) 904-0531
Mailing Address
68 708 AVENIDA DIOSA CATHEDRAL CITY, CA 92234
Mailing Phone
(818) 781-7097
Mailing Fax
(818) 904-0531
Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year
1986
Is Sole Proprietor?
No
Enumeration Date
11-28-2006
Last Update Date
01-09-2014
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A primary care provider (PCP) like David Petersen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
G60655
License State
CA
Taxonomy Description
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E25300MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

David Petersen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

David Petersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9032276738

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090325000152

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

This service was performed 16 times for 16 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 57 times for 53 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 21 times for 14 patients

Reviews for DAVID JOHN PETERSEN MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508932906, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 8 + 3 + 4 + 9 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1508932906.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
14600 SHERMAN WAY, STE 215
VAN NUYS, CA 91405
Specialist/Technologist (Athletic Trainer)
14600 SHERMAN WAY, #300
VAN NUYS, CA 91405
Physical Therapist
14600 SHERMAN WAY
VAN NUYS, CA 91405
Physician Assistant
14600 SHERMAN WAY, 300
VAN NUYS, CA 91405
Dentist (Oral and Maxillofacial Surgery)
14600 SHERMAN WAY, SUITE 260
VAN NUYS, CA 91405
Internal Medicine
14600 SHERMAN WAY, 300
VAN NUYS, CA 91405
Nurse Practitioner
14600 SHERMAN WAY, SUITE 220
VAN NUYS, CA 91405
Obstetrics & Gynecology
14600 SHERMAN WAY, SUITE 220
VAN NUYS, CA 91405
Dentist (Orthodontics and Dentofacial Orthopedics)
14600 SHERMAN WAY, SUITE 100
VAN NUYS, CA 91405
Acupuncturist
14600 SHERMAN WAY, SUITE 300
VAN NUYS, CA 91405
Dentist
14600 SHERMAN WAY, STE #100
VAN NUYS, CA 91405
Podiatrist (Foot & Ankle Surgery)
14600 SHERMAN WAY, SUITE 210
VAN NUYS, CA 91405
Dentist (Oral and Maxillofacial Surgery)
14600 SHERMAN WAY, SUITE 260
VAN NUYS, CA 91405
Contractor
14600 SHERMAN WAY, SUITE 300
VAN NUYS, CA 91405
Audiologist-Hearing Aid Fitter
14600 SHERMAN WAY, SUITE 230
VAN NUYS, CA 91405
Obstetrics & Gynecology (Gynecology)
14600 SHERMAN WAY, 200
VAN NUYS, CA 91405
Clinic/Center
14600 SHERMAN WAY, SUITE 100A
VAN NUYS, CA 91405
Family Medicine
14600 SHERMAN WAY, SUITE 215
VAN NUYS, CA 91405
Dentist
14600 SHERMAN WAY, #100B
VAN NUYS, CA 91405
Podiatrist
14600 SHERMAN WAY, SUITE 210
VAN NUYS, CA 91405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508932906, enumerated as an "individual" on November 28, 2006.

The provider is located at 14600 SHERMAN WAY SUITE 300 VAN NUYS, CA 91405 and the phone number is (818) 781-7097.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.