Individual provider · Type 1 NPI

Bart J. Peterson, PA

Physician Assistant · Roseville, CA

NPI number 1619150752 Active

Practice location

3 Medical Plaza Dr Ste 140
Roseville, CA 95661-3088

Call (916) 865-1400 Map

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA723 (ID)
Physician Assistant Primary 363A00000XPA21631 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619150752

Bart J. Peterson, PA's National Provider Identifier is 1619150752, issued on Dec 12, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roseville, CA. The record was last updated on Apr 26, 2023.