Glen Petersen, M.D.
NPI 1467495986 · Pulmonary Disease Physician · Oakland, CA
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen Petersen, M.D. is a Pulmonary Disease Physician provider in Oakland, CA (NPI 1467495986).
Provider details
- NPI number
- 1467495986
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A26004 (CA)
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
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2016-01-14
Frequently asked questions
- What is Glen Petersen's NPI number?
- Glen Petersen's National Provider Identifier (NPI) is 1467495986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Petersen's specialty?
- Glen Petersen is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Glen Petersen located?
- Glen Petersen's practice location on file with NPPES is 411 30th St, Oakland, CA 94609-3312.
- What is Glen Petersen's phone number?
- The practice phone number listed in the NPPES registry for Glen Petersen is (510) 465-6800.
- Does Glen Petersen accept Medicare?
- Glen Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glen Petersen's NPI active?
- Yes — Glen Petersen's NPI (1467495986) is active in the NPPES registry as of the last update on 2016-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.