Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Rae Petersen, MPH, PA-C

Individual provider Physician Assistant · NPI 1063854669

Andrea Rae Petersen, MPH, PA-C is a Physician Assistant in Newport Beach, California. Qualified in 2013, 13 years ago. Practices with Hoag Clinic, a 443-clinician group and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
13
Licensed in
CA, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 Superior Ave Ste 310
Newport Beach, CA 92663-3609
Phone: (949) 644-2722
Fax: (949) 650-3135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 65363 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 11722 (MN)

Record details

NPI number1063854669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPH , PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2013
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Hoag Clinic — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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