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

Dr. Peterson Pierre, MD

Individual provider Dermatology Physician · NPI 1073663886

Dr. Peterson Pierre, MD is a Dermatology in Thousand Oaks, California. Graduated from Stanford University School of Medicine in 1997, 29 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2007
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

77 E Rolling Oaks Dr Ste 207
Thousand Oaks, CA 91361
Phone: (805) 496-9190
Fax: (805) 496-9185
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A66363 (CA)

Record details

NPI number1073663886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 12, 2007
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address77 E. Rolling Oaks Drive, Suite 207, Thousand Oaks, CA 91361

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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