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

Dr. Scott J. Petersen, MD

Individual provider General Practice Physician · NPI 1710034251

Dr. Scott J. Petersen, MD is a General Practice Physician in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone: (510) 752-1000
Fax: (510) 620-9222
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 G066975 (CA)

Record details

NPI number1710034251
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESDecember 15, 2021
Mailing address275 W Macarthur Blvd, Oakland, CA 94611-5641

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