MELANIE T PERERA (NPI# 1104223296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104223296 |
| Entity Type | Individual |
| Full Name | MELANIE T PERERA |
| Credential | NP |
| Practice Address |
370 Distel Cir Los Altos CA 94022-1404 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6502545200 |
| Mailing Telephone | 6502545200 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22065 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Welch Rd, Palo Alto, CA 943041601 | 6504978000 |
| Street Address |
370 DISTEL CIR |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94022-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019203 | Ruth Antionette Jenkins | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2005-10-28 |
| 1447814397 | Renee Patricia Gooden-clarke | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2019-04-25 |
| 1356825921 | Anna Sheng | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2018-09-19 |
| 1558880351 | Jonathan Robert Fero | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2017-09-12 |
| 1144672528 | Stephanie Wynne | Registered Nurse | 370 Distel Cir, Los Altos, CA 94022-1404 | 2016-07-08 |
| 1508217274 | Eric Seiji Matsumoto | Family Medicine | 370 Distel Cir, Los Altos, CA 94022 | 2016-06-23 |
| 1962865006 | Ashley Anne Taggart | Obstetrics & Gynecology | 370 Distel Cir, Los Altos, CA 94022-1404 | 2016-04-05 |
| 1548635840 | Doris Hong | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2015-12-11 |
| 1568877041 | Hannah Iwan | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2014-06-24 |
| 1255745311 | Jennifer Tran | Family Medicine | 370 Distel Cir, Los Altos, CA 94022-1404 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992290779 | Christine Hur | Optometrist | 4906 El Camino Real Ste B, Los Altos, CA 94022 | 2018-06-25 |
| 1386181709 | Xin Xia | Acupuncturist | 900 N San Antonio Rd Ste 103, Los Altos, CA 94022 | 2017-01-23 |
| 1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
| 1952787475 | Tanya M. Gulevich | Marriage & Family Therapist | 146 Main St #215, Los Altos, CA 94022 | 2015-08-06 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1689096323 | Christine Stephanos | Pharmacist | 255 Second Street, Los Altos, CA 94022 | 2014-01-15 |
| 1316289044 | Isaac Ho | Student in an Organized Health Care Education/Training Program | 12696 La Cresta Drive, Los Altos Hills, CA 94022 | 2013-03-20 |
| 1144570698 | Julie Chayt Scott | Nutritionist | 395 Main Street, Los Altos, CA 94022 | 2012-09-12 |
| 1730454455 | Vincent Peter Zarcone Jr. | Psychiatry & Neurology | 227 Verano Dr, Los Altos, CA 94022 | 2012-03-13 |
| 1841561545 | Charles John Martell | Preventive Medicine | 19 Bay Tree Lane, Los Altos, CA 94022 | 2012-01-26 |
| Find all providers in zip 94022 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578607073 | Clarisa Peer | Nurse Practitioner | 842 Altos Oaks Dr, Los Altos, CA 94024-5403 | 2007-02-16 |
| 1912040056 | Janice Apol | Nurse Practitioner | 842 Altos Oaks Dr, Los Altos, CA 94024-5403 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
| 1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
| 1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
| 1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.