DR. ROBERT PETERSON D.O.
NPI 1669865424
Psychiatry & Neurology - Psychiatry in Gardena, CA

Q: What is Robert Peterson's NPI number?

The NPI number for Robert Peterson is 1669865424. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Q: What is Robert Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Robert Peterson was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 17, 2015PECOS EnrolledAccepts Medicare Assignment

1045 W REDONDO BEACH BLVD FL 3, GARDENA, CA 90247(323) 241-6730 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2022, Jan 8, 2021, Jun 14, 2018 (3 updates tracked since 2018).

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About Dr. Robert Peterson D.o. NPPES

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

DR. ROBERT PETERSON D.O. (NPI 1669865424) is an individual psychiatry provider in Gardena, California, licensed in California (20A14381) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669865424

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ROBERT PETERSONCredential: D.O.

Location Address1045 W REDONDO BEACH BLVD FL 3Gardena, CA 90247-4128

Mailing Address1045 W Redondo Beach Blvd Fl 3Gardena, CA 90247-4128 · (323) 241-6730

Phone(323) 241-6730

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 17, 2015

Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration

NPPES CertifiedOctober 27, 2022

✔ NPI 1669865424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A14381

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1045 W REDONDO BEACH BLVD FL 3, Gardena, CA 90247

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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 and accepts Medicare assignment

Dr. Robert Peterson D.o. 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 ID1557612553

PECOS Enrollment IDI20181001001034

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 3

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.

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

74 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

30 services19 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RAYME MICHAEL BROCK R.N.

Registered Nurse (Psychiatric/Mental Health)