PETER D YORGIN (M.D.) – Pediatric Nephrology Physician, NPI 1023039831

PETER D YORGIN (M.D.) is a healthcare provider. based in San diego, California. specializing in Pediatric Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. G64029 (CA). The NPI Number for PETER D YORGIN (M.D.) is 1023039831

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PETER D YORGIN (M.D.)
NPI
1023039831
Phone
(858) 309-6303
Address
3860 CALLE FORTUNADA
Enumeration Date
21 July 2006
Last Update Date
14 October 2011

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
6204879844
Group Practice PAC ID
3971677493
Professional Enrollment ID
I20050606000452
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PETER D YORGIN (M.D.)

  • Calle Fortunada, San Diego, San Diego County, California, 92123, United States

    STE #210

    SAN DIEGO, CA 921234802

    Phone: (858) 309-6303

    Fax: (858) 309-6301

    Type: Mailing

  • 8001, Frost Street, Serra Mesa, San Diego, San Diego County, California, 92123, United States

    ENTRANCE 10

    SAN DIEGO, CA 921232746

    Phone: (858) 966-8052

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050606000452IPediatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971677493View full group profile
NameSpecialtyState
P A T H O L O G YCA
Orthopedic SurgeryCA
Infectious Disease, Pediatric MedicineCA
-CA
Infectious Disease, Pediatric MedicineCA
O T O L A R Y N G O L O G YFL
Pediatric MedicineCA
Hematology/Oncology, Pediatric MedicineCA
O P H T H A L M O L O G YCT
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

Does PETER D YORGIN (M.D.) have a public NPI I can cite?
Public records show PETER D YORGIN (M.D.) under NPI 1023039831.
Should I treat PETER D YORGIN (M.D.) as an active provider?
Patients and plans typically see PETER D YORGIN (M.D.) as active in the national extract.
What services align with PETER D YORGIN (M.D.)'s listing?
PETER D YORGIN (M.D.)'s public classification highlights Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PETER D YORGIN (M.D.)?
PETER D YORGIN (M.D.) is associated with San Diego, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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