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NICHOLAS VERNON PETERSON MD
NPI 1619505229
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 30, 2020PECOS Enrolled
757 WESTWOOD PLAZA, SURGERY, LOS ANGELES, CA 90095(310) 825-8307 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas Vernon Peterson Md NPPES

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

NICHOLAS VERNON PETERSON MD (NPI 1619505229) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619505229
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS VERNON PETERSONCredential: MD
Location Address757 WESTWOOD PLAZA, SURGERYLos Angeles, CA 90095-7419
Mailing Address757 Westwood Plaza, SurgeryLos Angeles, CA 90095-7419
Phone(310) 825-8307
Sole ProprietorNo
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1619505229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

757 WESTWOOD PLAZA, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Vernon Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

STEVEN J ROTTMAN MD
Emergency Medicine (Emergency Medical Services)
757 WESTWOOD PLAZA, RM14-19
LOS ANGELES, CA 90095
Los Angeles County (310) 825-2111
DR. VALERI DANA WALKER M.D.
Anesthesiology
757 WESTWOOD PLAZA, RONALD REAGAN UCLA MEDICAL CENTER
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8655
JANEEN C GAUL RN, NNP
Nurse Practitioner (Neonatal, Critical Care)
757 WESTWOOD PLAZA
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7565
UNIVERSITY OF CALIFORNIA, LOS ANGELES
General Acute Care Hospital
757 WESTWOOD PLAZA, SUITE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8693
DR. ANTONIO MANUEL PESSEGUEIRO M.D.
Hospitalist
757 WESTWOOD PLAZA, SUITE 7501
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9643
DR. EDWARD LEE HA M.D.
Hospitalist
757 WESTWOOD PLAZA, UCLA MED-GIM & HSR; BOX 957417, RRUMC #7501K
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9643
DR. TIMOTHY JOSEPH FLORENCE MD PHD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, NEUROSURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7362
OLIVER C DREWRY
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, ANESTHESIOLOGY
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8653

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 Nicholas Peterson's NPI number?

The NPI number for Nicholas Peterson is 1619505229. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Nicholas Peterson located?

Nicholas Peterson practices at 757 Westwood Plaza Surgery, Los Angeles, CA 90095. The listed phone number is (310) 825-8307.

What is Nicholas Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Peterson enrolled in Medicare?

Yes. Nicholas Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Peterson was last updated on March 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.