ECSTACY PERALTA (NPI# 1659774602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659774602 |
| Entity Type | Individual |
| Full Name | ECSTACY PERALTA |
| Practice Address |
468 N Vermont Ave Dinuba CA 93618-1631 |
| Mailing Address |
321 W Chennault Ave Apt 225 Clovis CA 93611-0217 |
| Practice Telephone | 5595916200 |
| Mailing Telephone | 4084204628 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 51945 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
468 N VERMONT AVE |
| City | DINUBA |
| State | CA |
| Zip Code | 93618-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427123496 | Anand Narayan Md Inc | Obstetrics & Gynecology | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2006-11-22 |
| 1386203834 | Griffith Tanner Davis | Physician Assistant | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2019-06-09 |
| 1649837006 | Lyndsay Rose De Matei | Physician Assistant | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2019-05-21 |
| 1427432509 | Sinka Tang | Nurse Practitioner | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2015-07-17 |
| 1083951735 | Sukhpreet Kaur | Nurse Practitioner | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2013-01-14 |
| 1013221845 | Anand Narayan | Emergency Medicine | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2010-08-04 |
| 1164611570 | Kishwar R. Gill | Family Medicine | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2007-10-22 |
| 1164642773 | Gujarathi L. Narayan | Obstetrics & Gynecology | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2007-04-26 |
| 1447381090 | Nurjehan Abdullah Kurwa | Pediatrics | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447291 | Ericka Carmona | Health Educator | 1000 Rosemary Ave, Dinuba, CA 93618 | 2018-08-21 |
| 1821481391 | Riaz Qamar | Clinical Nurse Specialist | 420 E Elmonte Way, Dinuba, CA 93618 | 2015-03-09 |
| 1841607801 | Kaweah Delta Health Care District | Clinic/Center | 355 Monte Vista Dr, Dinuba, CA 93618 | 2014-07-22 |
| 1891084539 | Susana Dy Calambro | Pharmacist | 2200 E. El Monte Way, Rite Aid, Dinuba, CA 93618 | 2011-04-04 |
| 1902039860 | Araceli Moreno | Counselor | 144 S L Street, Dinuba, CA 93618 | 2009-08-26 |
| 1346473238 | Yolanda Marie Rodriguez | Social Worker | 144 S L. Street, Dinuba, CA 93618 | 2009-08-26 |
| 1679727184 | Alexandra Contreras | Licensed Vocational Nurse | 144 So. L Street, Dinbua, CA 93618 | 2008-11-11 |
| 1932350063 | Emmanuel Garcia | Licensed Vocational Nurse | 144 South L St., Dinuba, CA 93618 | 2008-10-07 |
| 1043493430 | Firstsight Vision Services, Inc. | Optometrist | 700 West El Monte Way, Dinuba, CA 93618 | 2007-12-10 |
| 1487846929 | Debra Cendejas | Counselor | 144 S. L. St., Dinuba, CA 93618 | 2007-08-17 |
| Find all providers in zip 93618 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629022181 | Mercedeh Deyhim | Physician Assistant | 888 N Alta Ave, Dinuba, CA 93618-3001 | 2006-05-20 |
| 1386203834 | Griffith Tanner Davis | Physician Assistant | 468 N Vermont Ave, Dinuba, CA 93618-1631 | 2019-06-09 |
| 1275654709 | John Louis Tieche | Physician Assistant | 430 N Vermont Ave, Dinuba, CA 93618-1631 | 2007-04-03 |
| 1922180835 | Karen Askren | Physician Assistant | 250 W El Monte Way, Dinuba, CA 93618-1554 | 2006-10-19 |
| 1508812645 | Boris M. Suarez | Physician Assistant | 1451 E El Monte Way, Dinuba, CA 93618-1812 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ECSTACY PERALTA.
| 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.