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

Brian Jared Peterson, PAC

Individual provider Emergency Medicine Physician · NPI 1225119621

Brian Jared Peterson, PAC is a Physician Assistant in Alpine, California. Qualified in 2003, 23 years ago. Practices with Mary Gessner-Peterson Medical Group Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1730 Alpine Blvd Ste 109B
Alpine, CA 91901-3877
Phone: (619) 326-4445
Fax: (619) 722-1721
Show map & directions

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

Additional practice locations (1)

  • 6645 Alvarado Rd, San Diego, CA 92120-5208 — (619) 229-3113

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MA051614 (PA)

Record details

NPI number1225119621
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESMarch 7, 2023
Mailing address2710 Alpine Blvd # 434, Alpine, CA 91901-2276

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mary Gessner-Peterson Medical Group Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount