Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JACOB KENNETH PETERS
Active
Individual
JACOB KENNETH PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G33404
CA
208D00000X
General Practice Physician
G33404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G334041
—
CA
Enumeration date
05/01/2007
Last updated
12/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up