Peter John Jandusay Pigao, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95014093 Issued in CA

Practice address

1000 W Carson St
Torrance, CA 90502-2059

Phone

(424) 306-4546

NPI assigned

Aug 24, 2021

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1366119711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 CAROLYN PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035562",
            "telephone_number": "310-953-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022059",
            "telephone_number": "424-306-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGAO",
        "first_name": "PETER JOHN",
        "middle_name": "JANDUSAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014093",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95014093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan J Pichardo, DA
• Andrea Marie Pickard, PT, DPT
• Kurt F Pickus, M.D.
• Jessica Lynn Pierry, RBT
• Tomasz Wojciech Pietrus
• Maria Piggee
• Edward Piken, M.D.
• David E Pilla, PHD
• Alberto Pimentel Jr., DENTAL ASSITANT
• Maricela Pimentel

• Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.