Active NPI
Esmeralda Gissele Puente, B.A
- Peer Specialist
- Lancaster, CA
National Provider Identifier
1124844774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-VKLOPA
- Practice address
- 45111 Fern Ave
Lancaster, CA 93534-2301 - Phone
- (661) 949-1206
- NPI assigned
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-VKLOPA | CA | Primary |
Addresses
Primary practice location
45111 Fern Ave
Lancaster, CA 93534-2301
Mailing address
45111 Fern Ave
Lancaster, CA 93534-2301
Phone (661) 949-1206
Other practice location 1
43520 Division St
Lancaster, CA 93535-4089
Phone (661) 266-4783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-VKLOPA | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1124844774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45111 FERN AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342301",
"telephone_number": "661-949-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45111 FERN AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342301",
"telephone_number": "661-949-1206"
}
],
"practiceLocations": [
{
"address_1": "43520 Division St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935354089",
"country_code": "US",
"telephone_number": "661-266-4783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUENTE",
"first_name": "ESMERALDA",
"middle_name": "GISSELE",
"name_prefix": "Miss",
"credential": "B.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-27",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-VKLOPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.