Kwitka Durana Peratt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A106788 Issued in CA

Practice address

31103 Rancho Viejo Rd Ste D2005
San Juan Capistrano, CA 92675-1759

Phone

(949) 633-4464

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Child Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Buena Park, CA
  • NPI 1740300128
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1770723553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31103 RANCHO VIEJO RD STE D2005",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31103 RANCHO VIEJO RD STE D2005",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751759",
            "telephone_number": "949-633-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Beach Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906214031",
            "country_code": "US",
            "telephone_number": "714-736-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERATT",
        "first_name": "KWITKA",
        "middle_name": "DURANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A106788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Pelangka, PH D., BCBA-D, E.S.C
• Pelican Point Dental
• Andrea Penaloza, AMFT, APCC
• Keith E Penera, D.P.M.
• Pennant Healthcare, Inc.
• Corinne Marie Perez, NP
• Melinda Perez, NP
• Jennifer Perry, PPS
• Samuel Pica
• Kristen Pinedo, MA, LMFT

• Psychiatry Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.