Philip Fai Petersen, MD, PHD
NPI 1538797543ActiveIndividual· Pathology, Clinical Pathology· Los Angeles, CA
Pathology, Clinical Pathology (MD, PHD) in Los Angeles, California, licensed in CA, with an NPI issued in March 2020. Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1538797543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, PHD |
| Sole proprietor | No |
| NPI issued | Mar 27, 2020 |
| Last updated in NPPES | Nov 7, 2025 |
| Certified by provider | Nov 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Clinical Pathology Primary | 207ZC0006X | 189962 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Pathology |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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