IndividualActive
Alan Peterson, PA
NPI 1750443131 · Surgical Physician Assistant · Roseville, CA
Provider details
- NPI number
- 1750443131
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16407 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 Eureka Rd
Roseville, CA 95661-3027
Phone: (916) 784-5175
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Eureka Rd
Roseville, CA 95661-3027
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.