CHRISTOPHER TIMOTHY PEREIDA (NPI# 1316584907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316584907 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER TIMOTHY PEREIDA |
| Credential | MSN, FNP-C |
| Practice Address |
1600 W Avenue J Lancaster CA 93534-2814 |
| Mailing Address |
615 W Avenue L Lancaster CA 93534-7211 |
| Practice Telephone | 6617266225 |
| Practice Fax Number | 6619495191 |
| Mailing Telephone | 6617236884 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 363L00000X | Nurse Practitioner | NP95012512 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 W Avenue L, Lancaster, CA 935347211 | 6617236884 |
| Street Address |
1600 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236025 | James Helfrich Mcmillan | Obstetrics & Gynecology | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2005-06-25 |
| 1376144840 | Christina Trieu | Occupational Therapist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-11-02 |
| 1770180382 | Antelope Valley Inpatient Pediatric Associates, Inc | Pediatrics | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-10-06 |
| 1679180574 | Beena Batna | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-09-25 |
| 1538772090 | Stephanie N Smith | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-08-25 |
| 1134746639 | Jeremy Ryan Kennedy | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-06-30 |
| 1295366656 | Sam Joed Abid IIi | Pharmacist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-02-03 |
| 1568013142 | David Thai | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-09-24 |
| 1356997050 | Glenn Gabrang | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2019-08-18 |
| 1285289058 | Jeanne Mukantwali Muhirwa | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887579 | Jamie Lynn Michalski | Nurse Practitioner | 1331 W Avenue J # 101, Lancaster, CA 93534-2942 | 2020-10-05 |
| 1215579040 | Emily Outen Young | Nurse Practitioner | 1025 W Meeting St Suite 200, Lancaster, SC 29720-2246 | 2019-10-14 |
| 1447807904 | Sarah Ball | Nurse Practitioner | 2405 N Columbus St Ste 280, Lancaster, OH 43130-7946 | 2019-08-20 |
| 1972014769 | Zaydee Anne P Mercado | Nurse Practitioner | 1629 W Avenue J Ste 106, Lancaster, CA 93534-2851 | 2017-10-19 |
| 1518368059 | Kena S Williams | Nurse Practitioner | 43112 N. 15th St West, Kaiser Permanente, Lancaster, CA 93534 | 2014-09-15 |
| 1841624046 | Jennifer Lagare Hagerty | Nurse Practitioner | 335 East Avenue I, Lancaster, CA 93535 | 2013-08-25 |
| 1831451780 | Mary Oehler | Nurse Practitioner | 510 E Wheeling St, Lancaster, OH 43130-3822 | 2012-06-15 |
| 1285913277 | Katherine Shanon Mcquillan | Nurse Practitioner | 500 S Madison St Ste 1, Lancaster, WI 53813-2045 | 2011-08-09 |
| 1710052758 | Michelle April Nonnenmocher | Nurse Practitioner | 3488 Coronet Ave, Lancaster, PA 17601-1104 | 2006-11-22 |
| 1942398573 | Julie L. Hinton | Nurse Practitioner | 2104 Harrisburg Pike Ste 300, Lancaster, PA 17601-2644 | 2006-10-10 |
| Find all providers in LANCASTER | ||||
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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.