JEANNE M PERAFAN NP NPI 1831377829

NPI Information

NPI: 1831377829
Provider Name: JEANNE M PERAFAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
47110 WASHINGTON ST STE 203
LA QUINTA, CA
ZIP 92253
Phone: (760) 564-9205
Get Directions

Jeanne M Perafan, NP is a family nurse practitioner in La Quinta, CA with 17 years of experience. Jeanne M Perafan, NP NPI is 1831377829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

47110 WASHINGTON ST STE 203
LA QUINTA, CA
ZIP 92253-186
Phone: (760) 564-9205
Fax: (760) 771-6215

The NPI 1831377829 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 2/1/2008 and was last updated on 8/10/2023.

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	163W00000X	Registered Nurse		RN544390	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	NP17293	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	GR0101240	MEDICAID	CALIFORNIA
2	NP17293	OTHER	CALIFORNIA	MEDICAL LICENSE
3	GR0101241	MEDICAID	CALIFORNIA
4	GR0101242	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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