MIGUEL A PERALTA SR. (NPI# 1619196474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619196474 |
| Entity Type | Individual |
| Full Name | MIGUEL A PERALTA SR. |
| Credential | PA-C |
| Practice Address |
2625 W Alameda Ave #116 Burbank CA 91505-4806 |
| Practice Telephone | 8188413936 |
| Practice Fax Number | 8188415974 |
| Mailing Telephone | 8188413936 |
| Mailing Fax Number | 8188415974 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
19101 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2625 W ALAMEDA AVE #116 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520761 | Shailesh S Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505-4816 | 2005-06-28 |
| 1740622232 | Mark Mikhael Inc | Orthopaedic Surgery | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2013-07-24 |
| 1871838367 | Justin Farrell Cahn | Physician Assistant | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-12-10 |
| 1205171477 | Krystle Fernandez | Licensed Practical Nurse | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-11-29 |
| 1487905808 | Sofise Chen | Dentist | 2625 W Alameda Ave, Suite 216, Burbank, CA 91505-4806 | 2012-09-25 |
| 1922359603 | Sofise Chen, D.d.s. A Professional Dental Corporation | Clinic/Center | 2625 W Alameda Ave, 216, Burbank, CA 91505-4806 | 2012-09-21 |
| 1639457138 | Lakshmidevi V. Putta, Md Inc | Family Medicine | 2625 W Alameda Ave, Suite 424, Burbank, CA 91505-4806 | 2011-08-01 |
| 1679873665 | Robert Stephen Neches | Marriage & Family Therapist | 2625 W Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2010-10-25 |
| 1790002871 | Shant M Karayan | Chiropractor | 2625 W Alameda Ave, Suite 310, Burbank, CA 91505-4806 | 2010-04-28 |
| 1841528957 | Tejas Patel, Md A Medical Corporation | Internal Medicine | 2625 W Alameda Ave, Ste 412, Burbank, CA 91505-4806 | 2009-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174729768 | Vazrik Galstjan | Physician Assistant | 2625 W Alameda Ave, #116, Burbank, CA 91505-4806 | 2007-06-21 |
| 1760590897 | Nancy Jill Galustians | Physician Assistant | 181 South Buena Vista Street, 3rd Floor, Burbank, CA 91505-1204 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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| 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.