Active NPI
Andrea Marlene Pedneault, FNP
- Family Nurse Practitioner
- Temecula, CA
National Provider Identifier
1538042858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030888
- Practice address
- 27555 Ynez Rd Ste 201
Temecula, CA 92591-4677 - Phone
- (951) 383-6068
- NPI assigned
- Jul 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030888 | CA | Primary |
Addresses
Primary practice location
27555 Ynez Rd Ste 201
Temecula, CA 92591-4677
Mailing address
21828 Carnation LN
Wildomar, CA 92595-7810
Phone (714) 356-2260
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753488000000",
"number": "1538042858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21828 CARNATION LN",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957810",
"telephone_number": "714-356-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27555 YNEZ RD STE 201",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914677",
"telephone_number": "951-383-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDNEAULT",
"first_name": "ANDREA",
"middle_name": "MARLENE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-26",
"last_updated": "2025-07-26",
"certification_date": "2025-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.