David John Petersen, MD - Medicare General Practice in Van Nuys, CA

David John Petersen, MD is a medicare enrolled "General Practice" physician in Van Nuys, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Healthcare Partners Affiliates Medical Group, Desert Medical Group Inc and his current practice location is 14600 Sherman Way, Suite 300, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at (818) 781-7097.

David John Petersen is licensed to practice in California (license number G60655) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508932906.

Contact Information

David John Petersen, MD
14600 Sherman Way, Suite 300,
Van Nuys, CA 91405
(818) 781-7097
(818) 904-0531

Map and Direction




Physician's Profile

Full NameDavid John Petersen
GenderMale
SpecialityGeneral Practice
Experience38 Years
Location14600 Sherman Way, Van Nuys, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David John Petersen attended and graduated from University Of Southern California Keck School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1508932906
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 01/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9032276738
  • Enrollment ID: I20090325000152

Medical Identifiers

Medical identifiers for David John Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508932906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice G60655 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthcare Partners Affiliates Medical Group7315842002658
Desert Medical Group Inc812393042751

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David John Petersen allows following entities to bill medicare on his behalf.
Entity NameHealthcare Partners Affiliates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258
Entity NameDesert Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114918612
PECOS PAC ID: 8123930427
Enrollment ID: O20031229000246

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David John Petersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David John Petersen, MD
68 708 Avenida Diosa,
Cathedral City, CA 92234

Ph: (818) 781-7097
David John Petersen, MD
14600 Sherman Way, Suite 300,
Van Nuys, CA 91405

Ph: (818) 781-7097

Reviews and Comments


General Practice Doctors in Van Nuys, CA

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Phone: 818-901-9090    Fax: 818-901-9347

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.