MARINA E PEREZ (NPI# 1710065461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710065461 |
| Entity Type | Individual |
| Full Name | MARINA E PEREZ |
| Credential | RN NP |
| Practice Address |
1 Grand Ave. Cal Poly Health Services San Luis Obispo CA 93407 |
| Mailing Address |
1930 Oceanaire Dr San Luis Obispo CA 93405-6829 |
| Practice Telephone | 8057565280 |
| Practice Fax Number | 8057565280 |
| Mailing Telephone | 8057565280 |
| Mailing Fax Number | 8057565298 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
212720 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850972 | Marina Alejandra Perez | Dentist | 777 Deltona Blvd Ste 9, Deltona, FL 32725-7174 | 2015-01-07 |
| 1396143772 | Marina Perez | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2014-12-16 |
| Street Address |
1 GRAND AVE. CAL POLY HEALTH SERVICES |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417194408 | Norman Brooks Smith | Family Medicine | 1 Grand Ave., Cal Poly Health Services, San Luis Obispo, CA 93407-0210 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730244377 | Marilyn Jane Pieters | Nurse Practitioner | Cal Poly State University Student Health Services, San Luis Obispo, CA 93407 | 2006-12-26 |
| 1750442653 | California Polytechnic State University At San Luis Obispo | Clinic/Center | Cal Poly Health Services, Grand Ave., San Luis Obispo, CA 93407 | 2006-12-13 |
| 1447435912 | Cal Poly Health Services | Clinic/Center | 1 Grand Ave Building 27, Cal Poly State University, San Luis Obispo, CA 93407-0000 | 2008-01-03 |
| 1275739245 | Nancy J Walden | Nurse Practitioner | Cal Poly State Health Center, 1 Grand Ave Building 27, San Luis Obispo, CA 93407-0210 | 2007-06-26 |
| 1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
| 1093946287 | Kevin Mccarthy | General Practice | 1 Grand Ave, San Luis Obispo, CA 93407-0210 | 2009-08-05 |
| 1326192816 | Gregory W. Thomas | Family Medicine | 1 Grand Ave, California Polytechnic State University San Luis Obispo, San Luis Obispo, CA 93407-0210 | 2007-01-22 |
| 1720140288 | Cal Poly Health Services | Clinic/Center | Health Services, California Polytechnic State University, San Luis Obispo, CA 93407-0210 | 2006-12-14 |
| 1750450680 | David Lloyd Harris | Internal Medicine | Health Services, California Polytechnic State University, San Luis Obispo, CA 93407-0210 | 2006-11-07 |
| 1659450633 | Lorraine M. Berg | Registered Nurse | 1 Grand Ave, Cal Poly Health Services, San Luis Obispo, CA 93407-0210 | 2006-11-02 |
| Find all providers in zip 93407 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93407 |
Please comment or provide details below to improve the information on MARINA E PEREZ.
| 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.