Justin Peterson, M.D.
NPI 1174948012 · Internal Medicine Physician · Beale Afb, CA
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Peterson, M.D. is a Internal Medicine Physician provider in Beale Afb, CA (NPI 1174948012).
Provider details
- NPI number
- 1174948012
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101259916 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 101 Bodin CirTravis Afb, CA 94535-1809Phone: (707) 423-7611
Registry dates
- Enumerated
- 2014-03-01
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Frequently asked questions
- What is Justin Peterson's NPI number?
- Justin Peterson's National Provider Identifier (NPI) is 1174948012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Peterson's specialty?
- Justin Peterson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Peterson located?
- Justin Peterson's practice location on file with NPPES is 15301 Warren Shingle Rd, Beale Afb, CA 95903.
- What is Justin Peterson's phone number?
- The practice phone number listed in the NPPES registry for Justin Peterson is (530) 634-4662.
- Does Justin Peterson accept Medicare?
- Justin Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Peterson's NPI active?
- Yes — Justin Peterson's NPI (1174948012) is active in the NPPES registry as of the last update on 2025-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.