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

Q: What is David Petersen's NPI number?

The NPI number for David Petersen is 1750363149. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Q: What is David Petersen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for David Petersen was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

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About Dr. David A Petersen Md NPPES

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

DR. DAVID A PETERSEN MD (NPI 1750363149) is an individual orthopaedic surgery provider in San Diego, California, licensed in California (G130506) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1750363149

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. DAVID A PETERSENCredential: MD

Location Address4910 DIRECTORS PL STE 350San Diego, CA 92121-3834

Mailing Address1433 S Fort Harrison Ave Ste DClearwater, FL 33756-2072 · (727) 724-3985 · Fax (727) 726-7553

Phone(844) 484-4267

Fax(949) 381-5687

Sole ProprietorNo

Enumeration DateNovember 19, 2005

Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1750363149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in CA · G130506✔ Licensed in FL · ME54499

Definition

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.

4910 DIRECTORS PL STE 350, San Diego, CA 92121

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Other Identifiers 1

Medicaid037919100FL

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR BRIGHT MS, ATC, OTC

Specialist/Technologist (Athletic Trainer)