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JOHN PATRICK PETERSEN MD
NPI 1811749054
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Active since April 02, 2024
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8978 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Patrick Petersen Md NPPES

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

JOHN PATRICK PETERSEN MD (NPI 1811749054) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1811749054
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN PATRICK PETERSENCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8978
Phone(650) 497-8978
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1811749054 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.
725 WELCH RD, Palo Alto, CA 94304
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Other Names 1

Other Name (5)Jack Patrick Petersen

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.

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

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 John Petersen's NPI number?

The NPI number for John Petersen is 1811749054. It was assigned to this individual provider in the NPPES registry on April 2, 2024. The provider is also known as Jack Patrick Petersen.

Where is John Petersen located?

John Petersen practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8978.

What is John 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 John Petersen was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.