Lidia Paola Kruse Peralta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101267772 Issued in VA

Practice address

200 Mercy Cir
Camp Pendleton, CA 92055

Phone

(760) 725-1213

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity - Arizona Hospitalists PCGroup PAC ID 5395163745, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vituity - Arizona Hospitalists PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1770109704

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Vituity - Arizona Hospitalists PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1912629916
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1265063010
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1629576210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 WESTSIDE DR APT 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081203",
            "telephone_number": "314-835-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIR",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE PERALTA",
        "first_name": "LIDIA",
        "middle_name": "PAOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101267772",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "73757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Steven Kozicki, D.O.
• Madelyn Paula Kozub, RN
• Sari Helen Krassin, BS, RDH
• Greigory William Kraus, MD
• Valery Krupnik, LCSW
• Matthew A Kuettel, M.D.
• Natalia Maria Kuhn, MD
• Doris K Lam, D.M.D., M.S.
• Jeremy Dean Lamb, O.D.
• Lester Hoplin Lambert, MD

• Internal Medicine Physician in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.