NPPES file of Aug 9, 2026

Bruce Michael Peterson, DDS

General Practice Dentistry · San Jacinto, CA

Bruce Michael Peterson, DDS is a general practice dentistry with a practice address in San Jacinto, California, and NPI 1063531481, issued on Mar 28, 2007. Check the license (California 28064, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063531481
Name
Bruce Michael Peterson
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
28064 CA
Self-reported in NPPES; status is on the state search
Practice location
607 Donna Way, San Jacinto, CA 92583
Phone
(951) 654-0803
Enumerated
Mar 28, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 607 Donna Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Briana Bender, MS, RDNRegistered Dietitian1922692789
  2. Rosan Ericksen, CADC IIAddiction (Substance Use Disorder) Counselor1699803171
  3. Lindsay Koh, R.D.Registered Dietitian1740556075
  4. Elizabeth Lauron, D.D.S.General Practice Dentistry1619096039
  5. Anthony MazzaRegistered Dietitian1699179861
  6. Vernon Motschman, CADCIIAddiction (Substance Use Disorder) Counselor1508997370

Verify Bruce Michael Peterson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 28064
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bruce Michael Peterson among 17,852 general practice dentistry records in California

Bruce Michael Peterson, DDS is one of 17,852 general practice dentistry records with a practice address in California. 57% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 29% of them.

  • NPI issued2007 · 29% of these records are older, 40% newer
  • In a Medicare fileNo · 57% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2007 · 79% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

13 general practice dentistry records list a practice address in San Jacinto

They are 13 of the 531 NPPES records with a practice address in San Jacinto, and 17,852 general practice dentistry records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Ramjibhai Baraiya, D.D.S.San Jacinto, CA 925831598812737
  2. Erika Belle, DDSSan Jacinto, CA 925831215420120
  3. Minh Chau, D.D.S.San Jacinto, CA 925831679393680
  4. Elizabeth Lauron, D.D.S.San Jacinto, CA 925831619096039
  5. Thanh Le, DDSSan Jacinto, CA 925831962911909
  6. Albert Macias, DDSSan Jacinto, CA 925831679430995
  7. Justin Namm, DDSSan Jacinto, CA 925831114403094
  8. Craig Smith, D.D.S.San Jacinto, CA 925831003828245

Common questions

What is Bruce Michael Peterson, DDS's NPI number?

Bruce Michael Peterson, DDS's National Provider Identifier (NPI) is 1063531481, issued on Mar 28, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Bruce Michael Peterson, DDS located?

The NPPES record lists a practice address at 607 Donna Way, San Jacinto, CA, 92583. Phone: (951) 654-0803. Providers update this record themselves, so call before visiting.

How can I verify Bruce Michael Peterson, DDS's license?

NPPES lists California license number 28064, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.