Individual provider Active NPI

Mariselda Peralez, NP, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1295716629
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 16840 Issued in CA
Practice address
387 Corral de Tierra Rd
Salinas, CA 93908-8917
Phone
(831) 578-8140
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 16840 CA Primary
Nurse Practitioner 363L00000X RN 547915 NP 14011 CA

Addresses

Primary practice location

387 Corral de Tierra Rd
Salinas, CA 93908-8917

Mailing address

387 Corral de Tierra Rd
Salinas, CA 93908-8917
Phone (831) 578-8140

Other identifiers 2

IdentifierTypeStateIssuer
PA 16840MedicaidCA
RN 547915MedicaidCA

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)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 16840CAMDPhysician Assistant
RN 547915 NP 14011CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1295716629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 CORRAL DE TIERRA RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939088917",
            "telephone_number": "831-578-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 CORRAL DE TIERRA RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939088917",
            "telephone_number": "831-578-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALEZ",
        "first_name": "MARISELDA",
        "credential": "NP, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 16840",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN 547915   NP 14011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA 16840",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN 547915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.