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

Dr. Douglas Charles Peterson, MD

Individual provider Pediatrics Physician · NPI 1174739288

Dr. Douglas Charles Peterson, MD is a Pediatrics Physician in Elk Grove, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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

9260 Laguna Springs Dr Ste E2-308
Elk Grove, CA 95758-7947
Phone: (916) 691-9574
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G42408 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence G42408 (CA)
Legal Medicine (M.D./D.O.) Physician Taxonomy 209800000X · Licence G42408 (CA)

Record details

NPI number1174739288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESApril 22, 2013

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