Samuel R Peterson in Newport Beach - Dermatology
Samuel R Peterson - NPI 1073571295
Samuel R Peterson is a Dermatology in Newport Beach, California. Samuel R Peterson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Samuel R Peterson is 1073571295. The last update date is 2023-01-19.
Samuel R Peterson's current location address is 360 San Miguel Dr Ste 309, Newport Beach, California. You can contact this provider via phone number 9496400434. The mailing address for Samuel R Peterson is 360 San Miguel Dr Ste 309, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel R Peterson |
|---|---|
| Address | 360 San Miguel Dr Ste 309, Newport Beach, California |
| Phone Number | 9496400434 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073571295 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2023-01-19 |
Provider Mailing Address Detail
| Address | 360 San Miguel Dr Ste 309 |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926607829 |
| Phone Number | 9496400434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 52631431205 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107017630101 | UT | IHC HEALTHPLANS | |
| QM0000066345 | UT | ALTIUS | |
| P00066498 | UT | PALMETTO GBA | |
| 3.00174 | UT | UNITED HEALTHCARE | |
| 72756 | UT | PEHP | |
| 796725 | UT | DMBA | |
| 870281028000 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Samuel R Peterson by the Centers for Medicare & Medicaid Services?
The Samuel R Peterson has been assigned the NPI (National Provider Identifier) 1073571295. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Samuel R Peterson?
The Samuel R Peterson is situated at 360 San Miguel Dr Ste 309, in the city of Newport Beach, state of CA, with the zip code 926607829.
What is Samuel R Peterson's area of expertise and its corresponding taxonomy classification?
The Samuel R Peterson's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1073571295 to Samuel R Peterson?
The Centers for Medicare & Medicaid Services assigned the 1073571295 to Samuel R Peterson on 2006-05-04.
When was the information related to Samuel R Peterson most recently updated or refreshed?
The details pertaining to the Samuel R Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-19.