Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA RAE PETERSEN, MPH, PA-C
ActiveANDREA RAE PETERSEN, MPH, PA-C is a Physician Assistant healthcare provider located in NEWPORT BEACH, California. NPI 1063854669 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1063854669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2013 (13.05410187385 yrs)
- Last Updated
- Nov 3, 2025
- Licenses
-
11722 (MN)65363 (CA)
Practice Information
- Address
-
500 SUPERIOR AVE STE 310NEWPORT BEACH, CA, 926633609Browse CA providers · Browse ZIP 92663
- Phone
- 9496442722
- Fax
- 9496503135
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| HECTOR C GONZALEZ | PA-C | 1689676306 |
| GINA M G DUEL | MS PAC | 1912985979 |
| MELISSA MARIE CALLIHAM | P.A-C | 1790725687 |
| MRS. BRENDA ANN BUSHEY | PA-C | 1700827664 |
| JANET GEISLER NAKAMURA | PA-C | 1972547537 |
| SHELLEY DOLKAS LICKL | PA | 1760416572 |
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.