Individual
DR. JAMES ALLEN KRAFT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
145 OAK MEADOW RD, SIERRA MADRE, CA 91024-2661
(415) 793-3269
(702) 384-1815
Mailing address
2020 PALOMINO LANE, SUITE 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
20A8715
CA
2085R0202X
Diagnostic Radiology Physician
Primary
20A8715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376545863
—
CA
05
—
1376545863
—
NV
01
—
P01361869
RR MEDICARE DRS
CA
01
—
P01361871
RR MEDICARE DR
CA
Enumeration date
08/15/2005
Last updated
11/05/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us