Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

David John Petersen, MD

Individual provider General Practice Physician · NPI 1508932906

David John Petersen, MD is registered under General Practice in Van Nuys, California. Graduated from University of Southern California Keck School of Medicine in 1986, 40 years ago. Practices with Desert Medical Group Inc, a 70-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14600 Sherman Way Ste 300
Van Nuys, CA 91405 Not confirmed with CMS for 12 years — call before visiting
Phone: (818) 781-7097
Fax: (818) 904-0531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G60655 (CA)

Record details

NPI number1508932906
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJanuary 9, 2014

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Desert Medical Group Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients74
Services billed 207 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Desert Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 70 clinicians in the practice; 12 are shown here.

Other providers in Van Nuys