Jennifer Elaine Perez, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95249113 Issued in CA

Practice address

7876 Big Rock Dr
Jurupa Valley, CA 92509-5203

Phone

(909) 244-7535

NPI assigned

Jul 27, 2023

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

Other names 1

• Miss Jennifer Elaine Pellegrin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1861173437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7876 BIG ROCK DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925095203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7876 BIG ROCK DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925095203",
            "telephone_number": "909-244-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95249113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PELLEGRIN",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Pappas
• Jonathan Park, MD
• Chandra Partlow
• Daisy Pearson
• Job Perez Jr
• Omar Perez
• Destiny Phillip, LVN
• Alejandra Pilat, BA
• Mia Nevaeh Pina
• Plan-It Life, Inc.

• Home Health Registered Nurse in Jurupa Valley, CA
• Providers in Jurupa Valley, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.