Perpetual Hands, a Professional Nursing Corporation

Organization Active NPI Primary Care Nurse Practitioner · Carson, CA

NPI 1619620739 · NPPES record last updated Jul 16, 2024

Key facts

NPI
1619620739
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
Legal business name
PERPETUAL HANDS, A PROFESSIONAL NURSING CORPORATION
Practice address
316 W Carson St Ste 102
Carson, CA 90745-2650
Phone
(562) 444-8843
NPI assigned
Jan 29, 2022
Organization subpart
No

Authorized official

Name
Liezl Santos NPI 1316479397
Title
President
Phone
(310) 634-7172

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220712003307 CA Part B Supplier - Clinic/Group Practice 4789065475 Receives reassigned benefits from 3 practitioners
Practice locations: Downey, CA

National Provider Directory

Locations

316 W Carson St
Ste 102
Carson, CA 90745
Phone (310) 212-6648

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP2300X Yes

Addresses

Primary practice location

316 W Carson St Ste 102
Carson, CA 90745-2650

Mailing address

316 W Carson St Ste 102
Carson, CA 90745-2650
Phone (310) 894-1361

Other providers in Carson, CA

All providers in Carson, CA · Primary Care Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.