National Provider Identifier Database

JUSTIN R PETERSON, MD – NPI #1174948012
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

JUSTIN R PETERSON, MD
15301 WARREN SHINGLE RD
ATTN: KEN WINN, CREDENTIAL COORDINATOR
BEALE AFB, CA95903
Phone: 530-634-4662
Fax:
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for JUSTIN R PETERSON

NPI Number 1174948012
Credentials MD
Entity Individual
Enumeration date 03/01/2014
Last updated 09/04/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • CA License #: 154828
  • VA License #: 0101259916
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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