Rosa Maria Peralta, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP17863 Issued in CA

Practice address

401 Picacho Road
Winterhaven, CA 92283

Phone

(760) 572-4100

Fax

(760) 572-2113

NPI assigned

Jun 9, 2008

Last updated

Apr 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DHHS PHS IHS Phoenix Area

  dba Ft Yuma Indian Health Center

  • Clinic/Center
  • Winterhaven, CA
  • NPI 1265719918

  TX

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1154580629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853661368",
            "telephone_number": "760-572-4105",
            "fax_number": "760-572-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PICACHO ROAD",
            "city": "WINTERHAVEN",
            "state": "CA",
            "postal_code": "92283",
            "telephone_number": "760-572-4100",
            "fax_number": "760-572-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP17863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020511",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV PROV B",
            "identifier": "8HH866",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Andrea Ochoa, CPHT
• Eun Joong Oh, PHARM D
• Arazely Padilla, CMA
• Walter Palkovitch, RN
• Haani Patchen
• Maria Perry
• Thu Nguyen Trang Pham
• Cherise Louise Riley
• Margaret Rincon
• Antonio Rivera, MD

• Family Nurse Practitioner in Winterhaven, CA
• Providers in Winterhaven, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.