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

Dominique Peterson, PA-C

Individual provider Physician Assistant · NPI 1265143531

Dominique Peterson, PA-C is a Physician Assistant in Fremont, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Kearney St
Fremont, CA 94538-2299
Phone: (510) 490-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61911 (CA)

Record details

NPI number1265143531
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

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