MRS. KYLIE PETERMAN (NPI# 1790258788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790258788 |
| Entity Type | Individual |
| Full Name | MRS. KYLIE PETERMAN |
| Practice Address |
23961 Calle De La Magdalena Ste 504 Laguna Hills CA 92653-3665 |
| Practice Telephone | 9495885800 |
| Mailing Telephone | 9495885800 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56343 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23961 CALLE DE LA MAGDALENA STE 504 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780199349 | Lauren Christine Heinze | Physician Assistant | 23961 Calle De La Magdalena Ste 504, Laguna Hills, CA 92653-3665 | 2017-12-05 |
| 1598379364 | Slatedm Neuro, PC | Electrodiagnostic Medicine | 23961 Calle De La Magdalena Ste 504, Laguna Hills, CA 92653-3665 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1861044240 | Lindsey Anne Gelber | Physician Assistant | 24221 Calle De La Louisa Ste 200, Laguna Hills, CA 92653-3642 | 2019-07-15 |
| 1780199349 | Lauren Christine Heinze | Physician Assistant | 23961 Calle De La Magdalena Ste 504, Laguna Hills, CA 92653-3665 | 2017-12-05 |
| 1376911404 | Natalie Hardie Smith | Physician Assistant | 27001 Moulton Pkwy Ste A102, Laguna Hills, CA 92656-3626 | 2015-09-06 |
| 1629403647 | Kirsten M Schwab | Physician Assistant | 24012 Calle De La Plata Ste 120, Laguna Hills, CA 92653-3632 | 2013-09-10 |
| 1881997575 | Brooke Taylor Zakhar | Physician Assistant | 24401 Calle De La Louisa Ste 300, Laguna Hills, CA 92653-3625 | 2010-12-17 |
| 1629684683 | Sharon Lyn Tanner | Physician Assistant | 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 | 2020-09-16 |
| 1730644527 | Emily Pham | Physician Assistant | 23141 Moulton Pkwy Ste 102, Laguna Hills, CA 92653-1241 | 2019-02-05 |
| 1891272456 | Emily Yu | Physician Assistant | 24221 Calle De La Louisa Ste 300, Laguna Hills, CA 92653-7637 | 2018-07-25 |
| 1407207095 | Kristen Marie Loy Bynon | Physician Assistant | 24401 Calle De La Louisa, Ste 102, Laguna Hills, CA 92653-3624 | 2016-06-25 |
| 1306216361 | Elizabeth Phillips | Physician Assistant | 24431 Calle De La Louisa, #200, Laguna Hills, CA 92653-7641 | 2015-10-03 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MRS. KYLIE PETERMAN.
| 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.