Individual provider Active NPI

Peris Rodriguez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1861292443
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034342 Issued in CA
Practice address
915 Highland Pointe Dr Ste 250
Roseville, CA 95678-5421
Phone
(650) 695-3354
Fax
(916) 251-0465
NPI assigned
Mar 14, 2025
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034342 CA Primary

Addresses

Primary practice location

915 Highland Pointe Dr Ste 250
Roseville, CA 95678-5421

Mailing address

915 Highland Pointe Dr Ste 250
Roseville, CA 95678-5421
Phone (650) 695-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT, NC, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250623000440 CA Practitioner - Nurse Practitioner 4284146655 Reassigns benefits to 3 organizations
I20260221000737 UT Practitioner - Nurse Practitioner 4284146655 Reassigns benefits to 2 organizations
I20260407002226 NC Practitioner - Nurse Practitioner 4284146655 Reassigns benefits to 2 organizations
I20260409003802 WI Practitioner - Nurse Practitioner 4284146655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J M Geiss DO ApcGroup PAC ID 6103044078, 13 clinicians

Practice addresses (Care Compare)

Glendale, WI 53217
Phone (855) 434-7763

8024 Glenwood Ave
Suite 305
Raleigh, NC 27612-1952
Phone (855) 434-7763

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034342CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Jun 9, 2025 Accepting new patients
Senior Doc Integrated Med, PC CurrentSince Apr 7, 2026 Accepting new patients

Locations

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

8024 Glenwood Ave
Ste 305
Raleigh, NC 27612
Phone (772) 265-4956

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 231-1680

500 W Silver Spring Dr
Ste K200
Milwaukee, WI 53217
Phone (414) 207-4415

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1861292443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND POINTE DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785421",
            "telephone_number": "650-695-3354",
            "fax_number": "916-251-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND POINTE DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785421",
            "telephone_number": "650-695-3354",
            "fax_number": "916-251-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PERIS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.