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

David John Petersen, MD

Individual provider General Practice Physician · NPI 1508932906

David John Petersen, MD is a 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
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
Mailing address68 708 Avenida Diosa, Cathedral City, CA 92234

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

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