Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JAKE PETERSEN
Active Sole ProprietorMICHAEL JAKE PETERSEN is a Pediatrics healthcare provider located in SACRAMENTO, California. NPI 1780248146 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SACRAMENTO, CA
Registration Details
- NPI Number
- 1780248146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2019 (7.3075743324681 yrs)
- Last Updated
- Jun 26, 2024
- License
-
A191321 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2516 STOCKTON BLVDSACRAMENTO, CA, 958172208Browse CA providers · Browse ZIP 95817
- Phone
- 9167342105
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT MICHAEL NEEDLE | MD | 1538162730 |
| DR. PHILIP S TRAQUAIR | MD | 1811990625 |
| DR. ALYA ZIA AHMAD | M.D. | 1679579726 |
| DR. ROY E SCHUTZENGEL | MD, MBA | 1548261522 |
| MRS. MIKLA NINA DERLET | MD | 1154323715 |
| MR. LEHMAN ERNEST BLACK III | MD | 1871585489 |
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.