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

Gordon W Peterson, MD

Individual provider Neurology Physician · NPI 1568496925

Gordon W Peterson, MD is a Neurology in Loma Linda, California. Graduated from Loma Linda University School of Dentistry in 1974, 52 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
52
Trained at
Loma Linda University School of Dentistry
Licensed in
CA
In the registry since
2006
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

11370 Anderson St Ste B-100
Loma Linda, CA 92354
Phone: (909) 558-2880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence G31371 (CA)

Record details

NPI number1568496925
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 20, 2018

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduated 1974 (52 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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