LEANNE RAE PEREZ NP NPI 1285779058

NPI Information

NPI: 1285779058
Provider Name: LEANNE RAE PEREZ, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: SOLANO GATEWAY MEDICAL GROUP, INC.

PECOS Registration: Yes

Address:
300 PASTEUR DR
DEPARTMENT OF CV SURGERY, FALK BUILDING 2ND FLOOR
STANFORD, CA
ZIP 94305
Phone: (650) 725-0524
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Leanne Rae Perez, NP is an acute care nurse practitioner in Stanford, CA with 18 years of experience. Leanne Rae Perez, NP NPI is 1285779058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 PASTEUR DR
DEPARTMENT OF CV SURGERY, FALK BUILDING 2ND FLOOR
STANFORD, CA
ZIP 94305-200
Phone: (650) 725-0524

The NPI 1285779058 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 1/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	NP 17007	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q76961	MEDICARE UPIN	CALIFORNIA
2	ZZZ04490Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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