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

Dr. William Jacob Pevsner, DO

Individual provider Family Medicine Physician · NPI 1679758171

Dr. William Jacob Pevsner, DO is a Family Practice in San Dimas, California. Graduated from College of Osteo Med of the Pacific at Pomona in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
CA
In the registry since
2008
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.

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Practice location Address checks out

1334 W Covina Blvd Ste 103
San Dimas, CA 91773-3211
Phone: (909) 394-9090
Fax: (909) 394-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence W20A5383 (CA)

Record details

NPI number1679758171
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 2, 2008
Last updated in NPPESJanuary 2, 2008
Mailing address1334 W Covina Blvd Ste 103, San Dimas, CA 91773-3211

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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