Karla Marguerite Perisho, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

459718 Issued in CA

Practice address

100 Falls Canyon Road
Avalon, CA 90704

Phone

(310) 510-0096

Fax

(310) 510-2381

NPI assigned

Jul 25, 2007

Last updated

Jun 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karla Marguerite Parsons Former name

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Avalon Medical Development CorporationGroup PAC ID 1850283995, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catalina Island Medical Center Hospital, Avalon, CA, CCN 051307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karla.perisho.1@14021.direct.athenahealth.com

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.

• Avalon Medical Development Corporation

  dba Catalina Island Health

  • Critical Access Hospital
  • Avalon, CA
  • NPI 1346250347
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avalon Medical Development Corporation

  dba Catalina Island Health

  • Critical Access Hospital
  • Avalon, CA
  • NPI 1346250347
  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1790975969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FALLS CANYON ROAD",
            "address_2": "P.O. BOX 1583",
            "city": "AVALON",
            "state": "CA",
            "postal_code": "90704",
            "telephone_number": "310-510-0096",
            "fax_number": "310-510-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FALLS CANYON ROAD",
            "city": "AVALON",
            "state": "CA",
            "postal_code": "90704",
            "telephone_number": "310-510-0096",
            "fax_number": "310-510-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERISHO",
        "first_name": "KARLA",
        "middle_name": "MARGUERITE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "459718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "PARSONS",
            "middle_name": "MARGUERITE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martinez Chiropractic, Inc. (Catalina Natural Health Center)
• Joseph Louis Martinez, D.C.
• Edwin T McGroarty, M.D.
• Andrea Olson Diaz, LMFT
• Bill Harold Paige, R.PH.
• Susan L Ponce, PHARM.D.
• Larry E Reimer
• Emily Hopkins Schuck, FNP-C
• Chia Shen, L.AC. PH.D.
• Teleconnect Therapies

• Family Nurse Practitioner in Avalon, CA
• Providers in Avalon, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.