Scott J. Petersen, MD
General Practice Physician · Oakland, CA
Scott J. Petersen, MD is a general practice physician with a practice address in Oakland, California, and NPI 1710034251, issued on Jan 5, 2007. Check the license (California G066975, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Scott J. Petersen
- Credential
- MD
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- G066975 CA
Self-reported in NPPES; status is on the state search - Practice location
- 275 W Macarthur Blvd, Oakland, CA 94611
- Phone
- (510) 752-1000
- Enumerated
- Jan 5, 2007
- Record last updated
- Dec 15, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (510) 620-9222
- Medicare enrollment
- Enrolled (PECOS I20101026000240); accepts Medicare assignment
- Medical or professional school
- Boston University School Of Medicine, 1988
- Entity
- Type 1 · individual
8 nearest general practice physician records → All 1,956 in California → Look up another NPI →
Also registered at 275 W Macarthur Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Scott J. Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G066975Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Permanente Medical Group IncRichmond, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Scott J. Petersen among 1,956 general practice physician records in California
Scott J. Petersen, MD is one of 1,956 general practice physician records with a practice address in California. 48% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 34% of them.
- NPI issued2007 · 34% of these records are older, 50% newer
- In a Medicare fileYes · 48% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated1988 · median 1994 among the 520 with a school on file
- Record last updated2021 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Physician providers in California
There are 1,956 general practice physician records in California.
All 1,956 in California → Every provider in Oakland → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Stella Detarsio-ParkOakland, CA 946111649657826
- Wanda Heffernon, M.D.Oakland, CA 946111659753614
- Michael Mustille, M.D.Oakland, CA 946111033661962
- Samuel Dismond, M.D.Oakland, CA 946121801899570
- Angelique Green, M.D.Oakland, CA 946121427269067
- Edward Sanders, MDOakland, CA 946091790909588
- Jasmine Solola, MDOakland, CA 946091831848746
- Edward Verceles, D.O.Oakland, CA 946091215258371
Common questions
What is Scott J. Petersen, MD's NPI number?
Scott J. Petersen, MD's National Provider Identifier (NPI) is 1710034251, issued on Jan 5, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Scott J. Petersen, MD located?
The NPPES record lists a practice address at 275 W Macarthur Blvd, Oakland, CA, 94611. Phone: (510) 752-1000. Providers update this record themselves, so call before visiting.
How can I verify Scott J. Petersen, MD's license?
NPPES lists California license number G066975, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.