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

Justin Ross Peterson, MD

Individual provider Internal Medicine Physician · NPI 1174948012

Justin Ross Peterson, MD is an Internal Medicine Physician in Beale AFB, California. Works from 2 locations. Licensed in California and Virginia.

Licensed in
CA, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

15301 Warren Shingle Rd Attn: Ken Winn Credential Coordinator
Beale AFB, CA 95903
Phone: (530) 634-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Bodin Cir, Travis Afb, CA 94535-1809 — (707) 423-7611

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 154828 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101259916 (VA)

Record details

NPI number1174948012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2014
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

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