Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bart J Peterson, PA

Individual provider Physician Assistant · NPI 1619150752

Bart J Peterson, PA is a Physician Assistant in Roseville, California. Licensed in California and Idaho. Registered with an NPI since 2007.

Licensed in
CA, ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3 Medical Plaza Dr Ste 140
Roseville, CA 95661-3088
Phone: (916) 865-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA21631 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA723 (ID)

Record details

NPI number1619150752
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 12, 2007
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

Other providers in Roseville