Active NPI
Danielle Peterson
- Registered Nurse
- Santa Ana, CA
National Provider Identifier
1295123768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95038161
- Practice address
- 1100 N Tustin Ave
Suite D1
Santa Ana, CA 92705-3509 - Phone
- (714) 571-0588
- NPI assigned
- Jan 6, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95038161 | CA | Primary |
Addresses
Primary practice location
1100 N Tustin Ave
Suite D1
Santa Ana, CA 92705-3509
Mailing address
1100 N Tustin Ave
Suite D1
Santa Ana, CA 92705-3509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-0150193 | Other | CA | MEDI-CAL |
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 |
|---|---|---|---|
| 95038161 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birth Choice Pregnancy Centers, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Santa Ana, CA
- NPI 1295170546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1295123768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N TUSTIN AVE",
"address_2": "SUITE D1",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N TUSTIN AVE",
"address_2": "SUITE D1",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053509",
"telephone_number": "714-571-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95038161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "33-0150193",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.