Organization Active NPI

Greater Good Health PC Inc

  • Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1356211452
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.