CHRISTOPHER TIMOTHY PEREIDA


Address: 1600 W Avenue J, Lancaster, CA 93534-2814
Phone: 6617266225

CHRISTOPHER TIMOTHY PEREIDA (NPI# 1316584907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316584907
Entity Type Individual
Full Name CHRISTOPHER TIMOTHY PEREIDA
Credential MSN, FNP-C
Practice Address 1600 W Avenue J
Lancaster
CA 93534-2814
Mailing Address 615 W Avenue L
Lancaster
CA 93534-7211
Practice Telephone 6617266225
Practice Fax Number 6619495191
Mailing Telephone 6617236884
Enumeration Date 2019-12-03
Last Update Date 2020-01-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 363L00000X Nurse Practitioner NP95012512 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
615 W Avenue L, Lancaster, CA 935347211 6617236884

Office Location

Street Address 1600 W AVENUE J
City LANCASTER
State CA
Zip Code 93534-2814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245236025 James Helfrich Mcmillan Obstetrics & Gynecology 1600 W Avenue J, Lancaster, CA 93534-2814 2005-06-25
1376144840 Christina Trieu Occupational Therapist 1600 W Avenue J, Lancaster, CA 93534-2814 2020-11-02
1770180382 Antelope Valley Inpatient Pediatric Associates, Inc Pediatrics 1600 W Avenue J, Lancaster, CA 93534-2814 2020-10-06
1679180574 Beena Batna Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2894 2020-09-25
1538772090 Stephanie N Smith Nurse Practitioner 1600 W Avenue J, Lancaster, CA 93534-2814 2020-08-25
1134746639 Jeremy Ryan Kennedy Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2894 2020-06-30
1295366656 Sam Joed Abid IIi Pharmacist 1600 W Avenue J, Lancaster, CA 93534-2814 2020-02-03
1568013142 David Thai Nurse Practitioner 1600 W Avenue J, Lancaster, CA 93534-2814 2019-09-24
1356997050 Glenn Gabrang Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2894 2019-08-18
1285289058 Jeanne Mukantwali Muhirwa Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2814 2019-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740887579 Jamie Lynn Michalski Nurse Practitioner 1331 W Avenue J # 101, Lancaster, CA 93534-2942 2020-10-05
1215579040 Emily Outen Young Nurse Practitioner 1025 W Meeting St Suite 200, Lancaster, SC 29720-2246 2019-10-14
1447807904 Sarah Ball Nurse Practitioner 2405 N Columbus St Ste 280, Lancaster, OH 43130-7946 2019-08-20
1972014769 Zaydee Anne P Mercado Nurse Practitioner 1629 W Avenue J Ste 106, Lancaster, CA 93534-2851 2017-10-19
1518368059 Kena S Williams Nurse Practitioner 43112 N. 15th St West, Kaiser Permanente, Lancaster, CA 93534 2014-09-15
1841624046 Jennifer Lagare Hagerty Nurse Practitioner 335 East Avenue I, Lancaster, CA 93535 2013-08-25
1831451780 Mary Oehler Nurse Practitioner 510 E Wheeling St, Lancaster, OH 43130-3822 2012-06-15
1285913277 Katherine Shanon Mcquillan Nurse Practitioner 500 S Madison St Ste 1, Lancaster, WI 53813-2045 2011-08-09
1710052758 Michelle April Nonnenmocher Nurse Practitioner 3488 Coronet Ave, Lancaster, PA 17601-1104 2006-11-22
1942398573 Julie L. Hinton Nurse Practitioner 2104 Harrisburg Pike Ste 300, Lancaster, PA 17601-2644 2006-10-10
Find all providers in LANCASTER

Competitor

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City LANCASTER
Zip Code 93534

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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