DR. DAVID A PETERSEN MD
NPI 1750363149
Orthopaedic Surgery in San Diego, CA

NPI Status: Active since November 19, 2005

Contact Information

4910 DIRECTORS PL STE 350
SAN DIEGO, CA
ZIP 92121
Phone: (844) 484-4267
Fax: (949) 381-5687

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  • Individual
  • Male
  • Orthopaedic Surgery

About DAVID PETERSEN

This page provides the complete NPI Profile along with additional information for David Petersen, a provider established in San Diego, California with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1750363149 assigned on November 2005. The practitioner's primary taxonomy code is 207X00000X with license number G130506 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1750363149
Provider Name
DR. DAVID A PETERSEN MD
Gender
Male
Entity Type
Individual
Location Address
4910 DIRECTORS PL STE 350 SAN DIEGO, CA 92121
Location Phone
(844) 484-4267
Location Fax
(949) 381-5687
Mailing Address
1433 S FORT HARRISON AVE STE D CLEARWATER, FL 33756
Mailing Phone
(727) 724-3985
Mailing Fax
(949) 381-5687
Is Sole Proprietor?
No
Enumeration Date
11-19-2005
Last Update Date
08-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
G130506
License State
CA
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

ME54499 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
037919100MEDICAID (05)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750363149, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 6 + 6 + 6 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1750363149.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Orthopaedic Surgery
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Physician Assistant
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Orthopaedic Surgery (Sports Medicine)
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Specialist/Technologist (Athletic Trainer)
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Orthopaedic Surgery
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Specialist/Technologist, Other (Orthopedic Assistant)
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Physician Assistant
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Orthopaedic Surgery
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Orthopaedic Surgery
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121
Physician Assistant
4910 DIRECTORS PL STE 350
SAN DIEGO, CA 92121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750363149, enumerated as an "individual" on November 19, 2005.

The provider is located at 4910 DIRECTORS PL STE 350 SAN DIEGO, CA 92121 and the phone number is (844) 484-4267.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.