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

Michael Blair Peterson, MD

Individual provider General Practice Physician · NPI 1255419024

Michael Blair Peterson, MD is a General Surgery in San Leandro, California. Graduated from University of California, Davis School of Medicine in 1980, 46 years ago. Practices with East Bay Cardiovascular and Thoracic Associates Inc, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

2500 Merced St
San Leandro, CA 94577-4201
Phone: (510) 454-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G45972 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G45972 (CA)

Record details

NPI number1255419024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022
Mailing address1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice East Bay Cardiovascular And Thoracic Associates Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Leandro