Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN RANDALL PETERSON, D.O.
Active Sole ProprietorNATHAN RANDALL PETERSON, D.O. is a Student (Health Education/Training) healthcare provider located in CAMP PENLETON, California. NPI 1053459867 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · CAMP PENLETON, CA
Registration Details
- NPI Number
- 1053459867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.499828692103 yrs)
- Last Updated
- Feb 9, 2026
- License
-
39020000X (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
SANTA MARGARITACAMP PENLETON, CA, 92055Browse CA providers · Browse ZIP 92055
- Phone
- 7607251288
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.