NPIMap

Organization Active NPI

Greater Good Health PC Inc

  • Primary Care Nurse Practitioner
  • Ammon, ID
National Provider Identifier
1750217873
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
GREATER GOOD HEALTH PC INC
Practice address
3017 Eagle Dr
Ammon, ID 83406-1273
Phone
(208) 607-3717
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Natalie Peraza
Title
Ops Manager
Phone
(626) 232-3929

Specialties & licenses 1

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

Addresses

Primary practice location

3017 Eagle Dr
Ammon, ID 83406-1273

Mailing address

300 Continental Blvd Ste 560
El Segundo, CA 90245-5030
Phone (626) 232-3929

Other practice location 1

409 E Chubbuck Rd Ste 105
Chubbuck, ID 83202-1065
Phone (626) 232-3929

National Provider Directory

National Provider Directory
Tax ID family
Greater Good Health PC Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1750217873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONTINENTAL BLVD STE 560",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455030",
            "telephone_number": "626-232-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-607-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E Chubbuck Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832021065",
            "country_code": "US",
            "telephone_number": "626-232-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER GOOD HEALTH PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "PERAZA",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OPS MANAGER",
        "authorized_official_telephone_number": "626-232-3929"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.