Active NPI
Niezel Delicana Perea
- Pharmacist
- Sacramento, CA
National Provider Identifier
1700500329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86839
- Practice address
- 2361 River Plaza Dr Apt 81
Sacramento, CA 95833-3254 - Phone
- (707) 759-8353
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86839 | CA | Primary |
Addresses
Primary practice location
2361 River Plaza Dr Apt 81
Sacramento, CA 95833-3254
Mailing address
2361 River Plaza Dr # A81
Sacramento, CA 95833-3254
Phone (707) 759-8353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86839 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1700500329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2361 RIVER PLAZA DR # A81",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958333254",
"telephone_number": "707-759-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2361 RIVER PLAZA DR APT 81",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958333254",
"telephone_number": "707-759-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "NIEZEL",
"middle_name": "DELICANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.