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

Gary Peterson, PA

Individual provider Physician Assistant · NPI 1629147731

Gary Peterson, PA is a Physician Assistant in Temecula, California. Qualified in 2002, 24 years ago. Practices with Kurlan Dermatology Medical Center, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

31515 Rancho Pueblo Rd Ste 201
Temecula, CA 92592-4837
Phone: (951) 302-1302
Fax: (760) 239-6893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 16479 (CA)

Record details

NPI number1629147731
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing addressPo Box 2123, Valley Center, CA 92082-2123

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kurlan Dermatology Medical Center, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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