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

Kyle Martin Peterson

Individual provider Family Nurse Practitioner · NPI 1760169569

Kyle Martin Peterson is a Nurse Practitioner in Long Beach, California. Qualified in 2023, 3 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1050 Linden Ave
Long Beach, CA 90813-3321
Phone: (562) 810-7447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025769 (CA)

Record details

NPI number1760169569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Long Beach