MEDICARE: PETR UTRATA M.D.

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	207R00000X	Internal Medicine Physician	A54495	CA

General Provider Information

NPI Number	:	1376624742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETR UTRATA M.D.

Provider Business Mailing Address
First Line	:	19100 CREST AVE APT 24
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-2863
Country	:	US
Telephone Number	:	510-357-1830
Fax Number	:	510-274-5503

Provider Business Practice Location Address
First Line	:	19100 CREST AVE APT 24
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-2863
Country	:	US
Telephone Number	:	650-288-8344
Fax Number	:	510-274-5503

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/04/2020

Similar Medicare Providers

1417999525 — DR. JEFFREY SCOTT CANADA D.C.
Practice Location Address:

2863 GROVE WAY
CASTRO VALLEY, CA
94546-6709

Practice Phone: 510-886-5243
Practice Fax: 510-886-0885

1073675963 — DR. GARY WILLIAM ZOFFADA DC
Practice Location Address:

2863 GROVE WAY
CASTRO VALLEY, CA
94546

Practice Phone: 510-886-8615
Practice Fax: 510-886-0885

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1497780431 — BIOMOTION PHYSICAL THERAPY
Practice Location Address:

1407 E LOS ANGELES AVE , STE. K
SIMI VALLEY, CA
93065-2863

Practice Phone: 805-583-2400
Practice Fax: 805-583-2404

1205030467 — SIMI DIALYSIS CENTER, LLC
Practice Location Address:

1407 E LOS ANGELES AVE , STE G & H
SIMI VALLEY, CA
93065-2863

Practice Phone: 562-495-8075
Practice Fax: 562-495-8076

1932688603 — A&K ORTHODONTICS, INC.
Practice Location Address:

9430 WARNER AVE STE E
FOUNTAIN VALLEY, CA
92708-2863

Practice Phone: 714-916-0422
Practice Fax:

Directions to “ PETR UTRATA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.