MEDICARE: DR. CHARMAINE ELISABETH JOANNA PETERS MD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	A173727	CA

General Provider Information

NPI Number	:	1316433055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARMAINE ELISABETH JOANNA PETERS MD, MS

Provider Business Mailing Address
First Line	:	100 WILSON RD STE 100
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-7885
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 UPPER RAGSDALE DR BLDG A
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5736
Country	:	US
Telephone Number	:	831-242-8645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2018
Last Update Date	:	04/15/2026

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