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

Dr. Mark Peterson, MD

Individual provider Psychiatry Physician · NPI 1396786620

Dr. Mark Peterson, MD is a Psychiatry in Patton, California. Graduated from Loma Linda University School of Medicine in 2000, 26 years ago. Practices with Department of State Hospitals, a 276-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
Loma Linda University 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

3102 E Highland Avenue Medical Staff Ofc
Patton, CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6833 Indiana Ave Ste 101, Riverside, CA 92506-4223 — (657) 346-6319

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A82029 (CA)

Record details

NPI number1396786620
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Department Of State Hospitals — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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