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

Madison Peterson, PA-C

Individual provider Physician Assistant · NPI 1407362692

Madison Peterson, PA-C is a Physician Assistant in Rancho Mirage, California. Qualified in 2017, 9 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

35200 Bob Hope Dr
Rancho Mirage, CA 92270-1748
Phone: (760) 328-8884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55250 (CA)

Record details

NPI number1407362692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 25, 2017
Last updated in NPPESNovember 2, 2024
Certification dateNovember 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rancho Mirage