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

Gabriel R Pettersen, MD

Individual provider Specialist · NPI 1740251727

Gabriel R Pettersen, MD is a Specialist in San Andreas, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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

1113 Highway 49
San Andreas, CA 95249
Phone: (209) 755-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Court St, Jackson, CA 95642-2154 — (209) 257-5900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A89460 (CA)
Specialist Taxonomy 174400000X · Licence A89460 (CA)

Record details

NPI number1740251727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESNovember 1, 2021
Certification dateOctober 13, 2021

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