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

Dr. Charles Capdeville Peterson, DO

Individual provider Family Medicine Physician · NPI 1871036798

Dr. Charles Capdeville Peterson, DO is a Family Practice in Glendale, California. Qualified in 2015, 11 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

544 N Glendale Ave Ste B
Glendale, CA 91206-3311
Phone: (747) 212-3441
Show map & directions

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

Additional practice locations (1)

  • 1975 Verdugo Blvd Ste A, La Canada Flintridge, CA 91011-3024 — (747) 212-3441

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A15085 (CA)

Record details

NPI number1871036798
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 25, 2016
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address2100 Powell St Ste 400, Emeryville, CA 94608-1826

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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