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

Dr. Carl David Petersen, MD

Individual provider Orthopaedic Surgery Physician · NPI 1245897669

Dr. Carl David Petersen, MD is an Orthopaedic Surgery Physician in Granite Bay, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9735 Oak Leaf Way
Granite Bay, CA 95746-8921
Phone: (916) 521-1379
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence G18463 (CA)

Record details

NPI number1245897669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2019
Last updated in NPPESMay 21, 2019
Mailing address9735 Oak Leaf Way, Granite Bay, CA 95746-8921