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

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: July 19, 2026.

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
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

Accepted 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.

Pathology (Anatomic Pathology & Clinical Pathology)
815 POLLARD RD
LOS GATOS, CA 95032
Internal Medicine
815 POLLARD RD
LOS GATOS, CA 95032
Emergency Medicine
815 POLLARD RD
LOS GATOS, CA 95032
Obstetrics & Gynecology (Gynecologic Oncology)
815 POLLARD RD, ATTN: CGOPS
LOS GATOS, CA 95032
Obstetrics & Gynecology (Gynecology)
815 POLLARD RD, ATTN: CGOPS
LOS GATOS, CA 95032
Clinical Neuropsychologist
815 POLLARD RD
LOS GATOS, CA 95032
Pathology (Anatomic Pathology & Clinical Pathology)
815 POLLARD RD
LOS GATOS, CA 95032
Pathology (Anatomic Pathology & Clinical Pathology)
815 POLLARD RD
LOS GATOS, CA 95032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740773217, enumerated as an "individual" on June 11, 2018.

The provider is located at 815 POLLARD RD LOS GATOS, CA 95032 and the phone number is (863) 465-7200.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Community Health Choice. Please consult your insurance carrier or call the provider to verify.