Cherri Louise Penne Myers, PAC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

PA16919 Issued in CA

Practice address

3150 Bristol Street
Suite 400
Costa Mesa, CA 92626

Phone

(949) 266-3700

Fax

(949) 266-3750

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Amen Clinics, Inc

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Costa Mesa, CA
  • NPI 1568865301
  NPD (past)
• Amen Clinics Inc, Bellevue

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Tukwila, WA
  • NPI 1124149851
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1265503981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 BRISTOL STREET",
            "address_2": "SUITE 400",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-266-3700",
            "fax_number": "949-266-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 BRISTOL STREET",
            "address_2": "SUITE 400",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-266-3700",
            "fax_number": "949-266-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNE MYERS",
        "first_name": "CHERRI",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "PA16919",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "MP1072557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Pena
• Giovana Denise Pena
• Victoria Annemarie Penado
• Makayla Penate
• Melissa Elise Pendergest, RN
• Jasmine Peradotto
• Mariah Isabella Perales-Miranda
• Carla Zoraya Peralta
• Dalila Perea
• Karyna Ivonne Pereda-Lopez

• Psychiatric/Mental Health Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.