npidata.org Sign in
Products
Provider RadarWatch an area and specialty — weekly alerts on new cliniciansPractice RadarWeekly alerts when new organisations register nearbySpecialtiesEvery NUCC taxonomy, with counts by state and cityStatesProvider counts and breakdowns for all 50 statesPhysician listsMDs and DOs with addresses and phone numbersNP listsNurse practitioners, the fastest-growing groupAPIJSON, delta feed, free tier
Use cases
Healthcare sales prospectingPhysician recruiting and locum staffingMedical device sales territory planningCredentialing and provider verificationHealthcare marketing lists and audience buildingPharmaceutical sales and prescriber targeting
Account
Start freeThree radars and an export a month Sign in Pricing
Explore
Data Labs API
About
About usTermsPrivacyContact us

Search › California › 152W00000X

Kenneth Peterson, OD

NPI 1871565788 · on the registry since 2006 · sole proprietor

Practice

Address
911 Oak Park Blvd Ste 104
Pismo Beach, CA 93449
Phone
(805) 473-9393
Fax
(805) 473-1974
Organisation at this address
Model Drug Inc
Kenneth A Peterson
Ken P Optometry Corp
Byron Collier Dpm Inc
Avalon Pediatrics, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California