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MARC PETERSEN
NPI 1801699889
Student in an Organized Health Care Education/Training Program in Fullerton, CA

Active since March 27, 2025
2025 RAVENHILL CT, FULLERTON, CA 92831(801) 245-9553 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marc Petersen NPPES

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

MARC PETERSEN (NPI 1801699889) is an individual student in an organized health care education/training program in Fullerton, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1801699889
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARC PETERSEN
Location Address2025 RAVENHILL CTFullerton, CA 92831-1327
Mailing Address2025 Ravenhill CtFullerton, CA 92831-1327 · (801) 245-9553
Phone(801) 245-9553
Sole ProprietorYes
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1801699889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2025 RAVENHILL CT, Fullerton, CA 92831
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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 Marc Petersen's NPI number?

The NPI number for Marc Petersen is 1801699889. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Marc Petersen located?

Marc Petersen practices at 2025 Ravenhill Ct, Fullerton, CA 92831. The listed phone number is (801) 245-9553.

What is Marc Petersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marc Petersen was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.