Veronica Beverly Panchoo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95014051 Issued in CA

Practice address

4121 Brockton Ave Ste 104
Riverside, CA 92501-3442

Phone

(951) 319-2739

NPI assigned

Nov 19, 2021

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

State licenses

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1902563364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37362 BRUTUS WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238060",
            "telephone_number": "951-204-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 BROCKTON AVE STE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013442",
            "telephone_number": "951-319-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHOO",
        "first_name": "VERONICA",
        "middle_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lambert PA-C, Inc.
• Mackenzie Riley Joi Pamilton-Evans
• Elvira C Pan, LCSW
• Ashini Panchal, MD
• Pravin M Panchal, MD
• Lauren Nicole Pancucci
• Dipika Pandit, M.D.
• Devan Sanjay Pandya
• Neel Pandya, M.D.
• Gary Kin Tet Pang, M.D.

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, 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 Nov 19, 2021; 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.