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

Jeffrey Petersen, MD

Individual provider Family Medicine Physician · NPI 1699794735

Jeffrey Petersen, MD is a Family Practice in Fallbrook, California. Qualified in 1998, 28 years ago. Practices with Graybill Medical Group Inc, a 104-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
28
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

1035 S Main Ave
Fallbrook, CA 92028-3338
Phone: (760) 291-6700
Fax: (760) 728-9732
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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 A79786 (CA)

Record details

NPI number1699794735
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address225 E 2nd Ave, Escondido, CA 92025-4249

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Graybill Medical Group Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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