Active NPI
Eleonida P. Perido
- Registered Nurse
- Glendale, CA
National Provider Identifier
1730390329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 464303
- Practice address
- 1557 The Midway St
Glendale, CA 91208-2802 - Phone
- (818) 500-1254
- Fax
- (818) 500-1279
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 464303 | CA | Primary |
Addresses
Primary practice location
1557 The Midway St
Glendale, CA 91208-2802
Mailing address
2217 Calle Bienvenida
Chino Hills, CA 91709-5004
Phone (909) 641-2040
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 |
|---|---|---|---|
| 464303 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Home Health Care Inc. | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Glendale, CA
- NPI 1467536664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730390329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 CALLE BIENVENIDA",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095004",
"telephone_number": "909-641-2040",
"fax_number": "818-500-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 THE MIDWAY ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082802",
"telephone_number": "818-500-1254",
"fax_number": "818-500-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIDO",
"first_name": "ELEONIDA",
"middle_name": "P.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "464303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
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.