Individual provider Active NPI

Cristina Perez

  • Family Nurse Practitioner
  • North Hills, CA
National Provider Identifier
1629632625
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036020 Issued in CA
Practice address
9119 Haskell Ave
North Hills, CA 91343-3121
Phone
(818) 763-8836
NPI assigned
Apr 24, 2019
Reactivated
Dec 3, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95036020 CA Primary

Addresses

Primary practice location

9119 Haskell Ave
North Hills, CA 91343-3121

Mailing address

9119 Haskell Ave
North Hills, CA 91343-3121
Phone (818) 763-8836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219002231 CA Practitioner - Nurse Practitioner 1052806759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13400 Riverside Dr
Suite 300
Sherman Oaks, CA 91423-2596

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036349CAMDAcute Care Nurse Practitioner
95036020CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Community Healthcare CurrentSince Dec 8, 2025 Accepting new patients
Valley Community Healthcare CurrentSince Dec 8, 2025 Accepting new patients

Locations

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1629632625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433121",
            "telephone_number": "818-763-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433121",
            "telephone_number": "818-763-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "deactivation_date": "2024-12-20",
        "reactivation_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.