PROF. JEFFREY PETERSEN M.D.
NPI 1649312752
Internal Medicine - Nephrology in Stanford, CA

Q: What is Jeffrey Petersen's NPI number?

The NPI number for Jeffrey Petersen is 1649312752. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Jeffrey Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 13, 2007

300 PASTEUR DR # A175MC5309, STANFORD, CA 94305(650) 723-1151(650) 723-7917 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prof. Jeffrey Petersen M.d. NPPES

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

PROF. JEFFREY PETERSEN M.D. (NPI 1649312752) is an individual nephrology provider in Stanford, California, licensed in California (A36290) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1649312752

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NamePROF. JEFFREY PETERSENCredential: M.D.

Location Address300 PASTEUR DR # A175MC5309Stanford, CA 94305-2200

Mailing Address300 Pasteur Dr # A175mc5309Stanford, CA 94305-2200 · (650) 723-1151 · Fax (650) 723-7917

Phone(650) 723-1151

Fax(650) 723-7917

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649312752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A36290

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

300 PASTEUR DR # A175MC5309, Stanford, CA 94305

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Other Identifiers 3

Medicaid00A362900CA

Medicare UPINA28028CA

Medicare ID-Type Unspecified00A362900CA

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 Jeffrey Petersen's NPI number?

The NPI number for Jeffrey Petersen is 1649312752. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jeffrey Petersen located?

Jeffrey Petersen practices at 300 Pasteur Dr # A175mc5309, Stanford, CA 94305. The listed phone number is (650) 723-1151.

What is Jeffrey Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Jeffrey Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.