MR. SALVATORE PETERSEN RN
NPI 1972031987
Registered Nurse - General Practice in Fairfield, CA

Active since June 03, 2017
103 BODIN CIR, FAIRFIELD, CA 94535(707) 437-1802 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 3, 2017 (2 updates tracked since 2017).

About Mr. Salvatore Petersen Rn NPPES

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

MR. SALVATORE PETERSEN RN (NPI 1972031987) is an individual general practice provider in Fairfield, California, licensed in California (545718) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1972031987
Entity TypeIndividualMale
Primary Taxonomy163WG0000X
Provider Legal NameMR. SALVATORE PETERSENCredential: RN
Location Address103 BODIN CIRFairfield, CA 94535-1801
Mailing Address103 Bodin CirFairfield, CA 94535-1801 · (707) 437-1802
Sole ProprietorNo
Enumeration DateJune 3, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1972031987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in CA · 545718
103 BODIN CIR, Fairfield, CA 94535

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.

Internal Medicine
103 BODIN CIR, BLD 778
FAIRFIELD, CA 94535
Family Medicine
103 BODIN CIR
TRAVIS AFB, CA 94535
Counselor (Addiction (Substance Use Disorder))
103 BODIN CIR
FAIRFIELD, CA 94535
Nurse Practitioner (Family)
103 BODIN CIR
FAIRFIELD, CA 94535
Psychologist
103 BODIN CIR, TRAVIS AFB VA
FAIRFIELD, CA 94535
Department of Veterans Affairs (VA) Pharmacy
103 BODIN CIR
TRAVIS AFB, CA 94535
Clinic/Center (VA)
103 BODIN CIR, TRAVIS AFB
FAIRFIELD, CA 94535
Internal Medicine
103 BODIN CIR, VA OUTPATIENT CLINIC
FAIRFIELD, CA 94535

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 Salvatore Petersen's NPI number?

The NPI number for Salvatore Petersen is 1972031987. It was assigned to this individual provider in the NPPES registry on June 3, 2017.

Where is Salvatore Petersen located?

Salvatore Petersen practices at 103 Bodin Cir, Fairfield, CA 94535. The listed phone number is (707) 437-1802.

What is Salvatore Petersen's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Salvatore Petersen was last updated on July 21, 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.