GABRIEL R. PETTERSEN MD – NPI #1740251727
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

GABRIEL PETTERSEN is a physician located in SAN ANDREAS, CA. NPPES has assigned the NPI number 1740251727 to GABRIEL PETTERSEN on January 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 5 years ago on Nov 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GABRIEL PETTERSEN below.

NPI Profile for
GABRIEL R. PETTERSEN

NPI Number
1740251727
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GABRIEL R. PETTERSEN
Credentials
MD
Primary location
1113 HIGHWAY 49
SAN ANDREAS, CA 95249
Phone: (209) 755-1400 Fax:
1 Other location(s):
815 Court St
Suite 7
Jackson, CA 95642-2154
Phone: (209) 257-5900
Fax: (209) 257-5901
Mailing address
10470 OLD PLACERVILLE RD
SUITE 100
SACRAMENTO, CA 95827-2539
Phone: (800) 470-0071 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 CA A89460
174400000X
- Specialist		 CA A89460

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GABRIEL PETTERSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH SONORA
      1000 GREENLEY ROAD
      SONORA, CA 95370
    • MARK TWAIN MEDICAL CENTER
      768 MOUNTAIN RANCH RD
      SAN ANDREAS, CA 95249
    • SUTTER AMADOR HOSPITAL
      200 MISSION BLVD
      JACKSON, CA 95642
    • SUTTER MEDICAL CENTER, SACRAMENTO
      2825 CAPITOL AVENUE
      SACRAMENTO, CA 95816
  • HOME HEALTH AGENCY
    • IRON POINT HOME HEALTH CARE INC
      1837 IRON POINT ROAD SUITE 160
      FOLSOM, CA 95630

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.