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

Jonathan Michael Peterson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124641071

Jonathan Michael Peterson, MD is an Ophthalmology in San Diego, California. Qualified in 2020, 6 years ago. Practices with Meadows Healthcare LLC, a 19-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
6
Licensed in
CA, NM
In the registry since
2020
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (3)

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 9415 Campus Point Dr, La Jolla, CA 92093-2536 — (800) 926-8273
  • 200 Lothrop St, Pittsburgh, PA 15213-2536 — (412) 647-2345

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A196755 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124641071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Meadows Healthcare Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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