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

Mr. Peter David Tannous, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205690773

Mr. Peter David Tannous, FNP-C is a Nurse Practitioner in San Diego, California. Qualified in 2023, 3 years ago. Practices with Minuteclinic Diagnostic Medical Group of San Diego Inc, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4829 Clairemont Dr
San Diego, CA 92117-2706
Phone: (866) 389-2727
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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 95028977 (CA)

Record details

NPI number1205690773
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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 Minuteclinic Diagnostic Medical Group Of San Diego Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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