MR. ALAN GUNNAR PETERSON PA
NPI 1750443131
Physician Assistant - Surgical in Roseville, CA
About Mr. Alan Gunnar Peterson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ALAN GUNNAR PETERSON PA (NPI 1750443131) is an individual surgical provider in Roseville, California, licensed in California (16407) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Alan Gunnar Peterson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alan Peterson's NPI number?
The NPI number for Alan Peterson is 1750443131. It was assigned to this individual provider in the NPPES registry on December 14, 2006.
Where is Alan Peterson located?
Alan Peterson practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-5175.
What is Alan Peterson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Alan Peterson enrolled in Medicare?
Yes. Alan Peterson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alan Peterson was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Alan Gunnar Peterson, PA · NPI 1750443131
Surgical physician in Roseville, California. Individual provider, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1750443131 (Entity type: Individual)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 16407 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 EUREKA RD, Roseville, CA 95661-3027
- **Phone:** (916) 784-5175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1750443131) · Data from the CMS NPPES public registry.