Active NPI
Maria Coleman Perdue
- Student in an Organized Health Care Education/Training Program
- Lancaster, CA
National Provider Identifier
1184165300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 43807 10TH St W Ste D
Lancaster, CA 93534-4805 - Phone
- (661) 575-9365
- NPI assigned
- Mar 20, 2017
- Last updated
- Sep 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 00365636 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
43807 10TH St W Ste D
Lancaster, CA 93534-4805
Mailing address
447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480
Other practice location 1
38736 Fortunato Ct
Palmdale, CA 93552-4182
Phone (661) 492-1284
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00365636 | CA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1184165300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 N EL MOLINO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011403",
"telephone_number": "626-577-8480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43807 10TH ST W STE D",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344805",
"telephone_number": "661-575-9365"
}
],
"practiceLocations": [
{
"address_1": "38736 Fortunato Ct",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935524182",
"country_code": "US",
"telephone_number": "661-492-1284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERDUE",
"first_name": "MARIA",
"middle_name": "COLEMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "00365636",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"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 Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.