MS. CHERRI LOUISE PENNE MYERS


Address: 3150 Bristol Street, Suite 400, Costa Mesa, CA 92626
Phone: 9492663700

MS. CHERRI LOUISE PENNE MYERS (NPI# 1265503981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265503981
Entity Type Individual
Full Name MS. CHERRI LOUISE PENNE MYERS
Credential PAC
Practice Address 3150 Bristol Street
Suite 400
Costa Mesa
CA 92626
Practice Telephone 9492663700
Practice Fax Number 9492663750
Mailing Telephone 9492663700
Mailing Fax Number 9492663750
Enumeration Date 2006-11-13
Last Update Date 2013-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
MP1072557 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
PA16919 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3150 BRISTOL STREET
SUITE 400
City COSTA MESA
State CA
Zip Code 92626

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
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1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
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1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992046296 Sonia Villa Nurse Practitioner 275 Victoria Street, Suite 2l, Costa Mesa, CA 92627 2013-03-12
1043761000 Jennifer Lindsay Martinez Nurse Practitioner 3540 Howard Way Ste 150, Costa Mesa, CA 92626-1496 2016-10-14
1134586670 Moses Morar Nurse Practitioner 275 Victoria St, Costa Mesa, CA 92627-1906 2016-01-27
1316337181 Jayana M. Dewitt Nurse Practitioner 275 Baker St E Ste A, Costa Mesa, CA 92626-4566 2015-01-30

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NPI Name Taxonomy Address Enumeration
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1316546930 Chika U Oguagha Nurse Practitioner 16240 Carmine St, Fontana, CA 92336-1481 2020-10-23
1215534888 Rosa Maria Aguero Nurse Practitioner 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 2020-10-06
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1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
1477167666 David Joseph Russell Nurse Practitioner 17846 Glenwood Rd, Manteca, CA 95336-9521 2020-09-03
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1407469554 Andre Alexandrian Nurse Practitioner 1606 Winona Ave, Burbank, CA 91504-2823 2020-08-28
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Competitor

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City COSTA MESA
Zip Code 92626

Improve Information

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Dataset Information

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.

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