Dr James Allen Kraft Peterson, DO | |
145 Oak Meadow Rd, Sierra Madre, CA 91024-2661 | |
(415) 793-3269 | |
(702) 384-1815 |
Full Name | Dr James Allen Kraft Peterson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 145 Oak Meadow Rd, Sierra Madre, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376545863 | NPI | - | NPPES |
1376545863 | Medicaid | NV | |
1376545863 | Medicaid | CA | |
P01361869 | Other | CA | RR MEDICARE DRS |
P01361871 | Other | CA | RR MEDICARE DR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | 20A8715 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 20A8715 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hosp So Sacramento | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Valley Radiology Consultants Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205897568 PECOS PAC ID: 4688572639 Enrollment ID: O20031229000627 |
Entity Name | Imaging Associates Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20170809000101 |
Entity Name | Valley Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987045 PECOS PAC ID: 6800882374 Enrollment ID: O20180315001230 |
Mailing Address | Practice Location Address |
---|---|
Dr James Allen Kraft Peterson, DO 2020 Palomino Lane, Suite 100, Las Vegas, NV 89106-4894 Ph: (702) 759-8600 | Dr James Allen Kraft Peterson, DO 145 Oak Meadow Rd, Sierra Madre, CA 91024-2661 Ph: (415) 793-3269 |