Renee Deyette Peyton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27341 Issued in CA

Practice address

14120 Beach Blvd
Suite 213
Westminster, CA 92683-4454

Phone

(714) 898-9040

Fax

(714) 894-3083

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Renee Rising Sun Deyette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1811014137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD",
            "address_2": "SUITE 213",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-898-9040",
            "fax_number": "714-894-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD",
            "address_2": "SUITE 213",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-898-9040",
            "fax_number": "714-894-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "RENEE",
        "middle_name": "DEYETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069713-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE RISING SUN",
            "last_name": "DEYETTE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Peloquin, DO
• Denise Louise Perez-Flores, MS
• Daisy Perez
• Daniel Perez
• Eliza Petritz
• Andrew Pham
• Bichloan Pham
• Catherine Pham, DDS INC
• Co Dang Long Pham, MD
• Dang-Khoa Pham

• Clinical Social Worker in Westminster, CA
• Providers in Westminster, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.