Provider Demographics
NPI:1013126143
Name:AFSARI, PETER F (DO)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:F
Last Name:AFSARI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3835 N FREEWAY BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1928
Mailing Address - Country:US
Mailing Address - Phone:916-576-7898
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1039 MURRAY AVE STE 220
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-2058
Practice Address - Country:US
Practice Address - Phone:805-250-2996
Practice Address - Fax:805-250-2998
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2018-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A129762084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry