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

Dane K Petersen, NP

Individual provider Nurse Practitioner · NPI 1033881669

Dane K Petersen, NP is a Nurse Practitioner in Ventura, California. Graduated from Vanderbilt University School of Medicine in 2021, 5 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
5
Trained at
Vanderbilt University School of Medicine
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone: (805) 653-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1701 Solar Dr Ste 150, Oxnard, CA 93030-0138 — (805) 278-4020
  • 21 S California St Ste 211, Ventura, CA 93001-2863 — (805) 222-6220

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95019314 (CA)

Record details

NPI number1033881669
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESSeptember 1, 2025
Certification dateSeptember 1, 2025
Mailing address100 N Brent St Ste 301, Ventura, CA 93003-2836

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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