Active NPI
Greater Good Health PC Inc
- Nurse Practitioner
- Victorville, CA
National Provider Identifier
1356211452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- GREATER GOOD HEALTH PC INC
- Practice address
- 12353 Mariposa Rd Ste C2
Victorville, CA 92395-6014 - Phone
- (310) 658-3775
- NPI assigned
- Nov 5, 2025
- Last updated
- May 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Peraza
- Title
- Operations Manager
- Phone
- (626) 232-3929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
12353 Mariposa Rd Ste C2
Victorville, CA 92395-6014
Mailing address
300 Continental Blvd Ste 560
El Segundo, CA 90245-5030
Phone (626) 232-3929
Other practice location 1
300 Continental Blvd Ste 560
El Segundo, CA 90245-5030
Phone (626) 232-3929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113001472 | CA | Part B Supplier - Clinic/Group Practice | 5294106027 |
Receives reassigned benefits from 45 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Greater Good Health PC Inc
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- El Segundo, CA
- NPI 1790635712
-
- Nurse Practitioner
- El Segundo, CA
- NPI 1821673005
-
- Primary Care Clinic/Center
- Billings, MT
- NPI 1285311258
-
- Primary Care Clinic/Center
- Great Falls, MT
- NPI 1386321354
-
- Primary Care Nurse Practitioner
- Ammon, ID
- NPI 1750217873
-
- Nurse Practitioner
- Missoula, MT
- NPI 1790624518
-
- Primary Care Clinic/Center
- Ammon, ID
- NPI 1033095914
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1104503168
Locations
12353 Mariposa Rd
Ste C2
Victorville, CA 92395
Phone (310) 658-3775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1356211452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CONTINENTAL BLVD STE 560",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455030",
"telephone_number": "626-232-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12353 MARIPOSA RD STE C2",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923956014",
"telephone_number": "310-658-3775"
}
],
"practiceLocations": [
{
"address_1": "300 Continental Blvd Ste 560",
"address_purpose": "LOCATION",
"city": "El Segundo",
"state": "CA",
"postal_code": "902455030",
"country_code": "US",
"telephone_number": "626-232-3929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREATER GOOD HEALTH PC INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "PERAZA",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "626-232-3929"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.