ANTONIO PETERSON
NPI 1740773217
Speech-Language Pathologist in Los Gatos, CA

Q: What is Antonio Peterson's NPI number?

The NPI number for Antonio Peterson is 1740773217. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is Antonio Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Peterson was last updated on April 30, 2023. 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 June 11, 2018Accepts Medicare Assignment

815 POLLARD RD, LOS GATOS, CA 95032(863) 465-7200 Get Directions Write a Review

NPPES record last updated: April 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Antonio Peterson NPPES

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

ANTONIO PETERSON (NPI 1740773217) is an individual speech-language pathologist provider in Los Gatos, California, licensed in California (28161) and active in the NPI registry since June 2018. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1740773217

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameANTONIO PETERSON

Location Address815 POLLARD RDLos Gatos, CA 95032-1438

Mailing Address830 Agua Mineral PlEl Paso, TX 79928-9056 · (817) 727-7069

Phone(863) 465-7200

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 11, 2018

Last NPPES UpdateApril 30, 2023

NPPES CertifiedApril 30, 2023

✔ NPI 1740773217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in CA · 28161✔ Licensed in FL · 16151

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

815 POLLARD RD, Los Gatos, CA 95032

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.Insurance ›

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

Antonio Peterson 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 ID4284144668

PECOS Enrollment IDI20250605004224, I20250618003728

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.

COMMUNITYHOSPITALOFLOSGATOS,INC.

General Acute Care Hospital