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

Petar Vukasin, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1659385516

Petar Vukasin, MD is a Colorectal Surgery (Proctology) in Glendale, California. Graduated from University of Southern California Keck School of Medicine in 1990, 36 years ago. Practices with Petar Vukasin M D Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
36
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
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

222 W Eulalia St Ste 100A
Glendale, CA 91204-2849
Phone: (818) 244-8161
Fax: (818) 244-8161
Show map & directions

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

Additional practice locations (1)

  • 301 W Huntington Dr Ste 618, Arcadia, CA 91007-1519 — (626) 898-8234

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence G74237 (CA)

Record details

NPI number1659385516
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address222 W Eulalia St, Suite 100a, Glendale, CA 91204-2849

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Petar Vukasin M D Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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