Active NPI
Cheryl Ann Prestianni, N.P.
- Occupational Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1578629820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 234064
- Practice address
- 330 Lewis St
Ste 100
San Diego, CA 92103-2108 - Phone
- (619) 471-9210
- Fax
- (619) 471-9211
- NPI assigned
- Dec 29, 2006
- 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 |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 234064 | CA | Primary |
Addresses
Primary practice location
330 Lewis St
Ste 100
San Diego, CA 92103-2108
Mailing address
330 Lewis St
Ste 100
San Diego, CA 92103-2108
Phone (619) 471-9210
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234064 | CA | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucsd Occupational Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Medicine Clinic/Center
- San Diego, CA
- NPI 1962531244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578629820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 LEWIS ST",
"address_2": "STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032108",
"telephone_number": "619-471-9210",
"fax_number": "619-471-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LEWIS ST",
"address_2": "STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032108",
"telephone_number": "619-471-9210",
"fax_number": "619-471-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTIANNI",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "234064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Lauren Danae Pressley
- Jeffrey Horwitz Pressman, MD
- Preeti Presswala, MFT, LPC
- Michael James Prestgard-Duke, MD
- Bella Giana Prestianni Thompson, AMFT142557
- Bradley Robert Prestidge, MD
- Prestige Orthopaedics and Sports Medicine Inc
- Prestigious in Home Care Services
- Amber Rose Preston
- John Charles Preston III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.