Czarina Lim Perello, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22692 Issued in CA

Practice address

1401 Bailey Avenue
Needles, CA 92363

Phone

(909) 223-1138

NPI assigned

Mar 21, 2013

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Locations

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.

• Tri-State Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Needles, CA
  • NPI 1922356369
  Medicare reassignment
• Tri-State Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Adelanto, CA
  • NPI 1508379017
  NPD

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1306188958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BAILEY AVENUE",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "92363",
            "telephone_number": "909-223-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BAILEY AVENUE",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "92363",
            "telephone_number": "909-223-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELLO",
        "first_name": "CZARINA",
        "middle_name": "LIM",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Needles Hospital, Inc (none)
• Needles Medical Management Center Inc (Tri-State Home Health Services)
• Pacific Clinics
• Mistydae Paget
• Juan Carlos Pequeno, MD
• Jason Dean Phillips, SUDCC-II 6264
• Premier Emergency Physicians of California Medical Group PC
• Principal-Needles Inc (Colorado River Medical Center)
• Principal-Needles Inc
• Martin Robert Reid, RPH

• Family Nurse Practitioner in Needles, CA
• Providers in Needles, 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 Jul 1, 2021; 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.