MS. PETRA CORONADO


Address: 10862 Calle Verde, La Mesa, CA 91941-7340
Phone: 6196705400

MS. PETRA CORONADO (NPI# 1932564309) 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) 1932564309
Entity Type Individual
Full Name MS. PETRA CORONADO
Credential N. P. F.
Practice Address 10862 Calle Verde
La Mesa
CA 91941-7340
Mailing Address 3744 Arnold Ave
Apt 11
San Diego
CA 92104-3487
Practice Telephone 6196705400
Mailing Telephone 8587845888
Enumeration Date 2015-12-29
Last Update Date 2017-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner NPF95003313 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10862 CALLE VERDE
City LA MESA
State CA
Zip Code 91941-7340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710962527 Scripps Clinic Medical Group Clinic/Center 10862 Calle Verde, La Mesa, CA 91941-7338 2005-12-14
1598235764 Christine Ngoc Han Nurse Practitioner 10862 Calle Verde, La Mesa, CA 91941-7340 2018-11-30
1669924023 Joanne Meyer Physician Assistant 10862 Calle Verde, La Mesa, CA 91941-7340 2016-11-01
1245624162 Diep Ngoc Ho Family Medicine 10862 Calle Verde, La Mesa, CA 91941-4307 2015-03-28
1538553508 Fatma V Deif Internal Medicine 10862 Calle Verde, La Mesa, CA 91941-7340 2015-03-26
1679827117 Ami Bali Physician Assistant 10862 Calle Verde, La Mesa, CA 91941-7340 2012-11-06
1871897678 Antonio Christophy Internal Medicine 10862 Calle Verde, La Mesa, CA 91941-7340 2011-01-07
1215243092 Ziad Allos Family Medicine 10862 Calle Verde, La Mesa, CA 91941-7340 2010-08-31
1134388218 Erick Franklin Huang Internal Medicine 10862 Calle Verde, La Mesa, CA 91941-7340 2008-06-04
1598854432 Jeffrey Martin Williams Physician Assistant 10862 Calle Verde, La Mesa, CA 91941-7340 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659914588 Aja Encinas Midwife 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 2019-10-23
1750889861 Kasey Higgins Nurse Practitioner 10862 Calle Verde # S93, La Mesa, CA 91941 2018-01-24
1801325238 Edward Rabinovich, Dds, Inc. Dentist 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 2017-06-08
1003204140 Cierra Lancaster Case Manager/Care Coordinator 4287 Palm Ave #32, La Mesa, CA 91941 2014-12-23
1710388533 Affordable In Home Care Home Health 7953 Lemon Circle, La Mesa, CA 91941 2014-09-11
1902206063 Rachel Llanes Marriage & Family Therapist 4849 Schuyler Avenue, La Mesa, CA 91941 2014-08-26
1497185540 Benjamin J Mandel Dentist 3835 Avocado Blvd #220, Lamesa, CA 91941 2013-11-26
1487084901 Accuquest Hearing Centers Clinic/Center 5105 Garfield Street, La Mesa, CA 91941 2013-11-19
1447551353 John Chuol Kuek Marriage & Family Therapist 4060 Fairmount Avenue, San Diego, CA 91941 2010-11-09
1588808463 Aesthetic Arts Institute of Plastic Surgery, LLC Clinic/Center 8415 Grant Avenue, La Mesa, CA 91941 2009-04-23
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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
1881154037 Mary Ann Pimentel Loyola Nurse Practitioner 8851 Center Dr Ste 505, La Mesa, CA 91942-3059 2019-03-22
1194204297 Courtney Pietsch Nurse Practitioner 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 2018-08-09
1174918585 John Danjuma Adeiza Nurse Practitioner 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 2015-04-02
1740613819 Teresa Grace Gieszl Nurse Practitioner 8860 Center Dr Ste 240, La Mesa, CA 91942-7000 2013-08-13
1427602101 Ariana Castro Nurse Practitioner 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 2019-07-30
1053881003 Cctc Investments Nurse Practitioner 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 2018-12-03
1134699341 Tobon Chung, Inc Nurse Practitioner 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 2018-11-29
1154771996 Francine Chu Nurse Practitioner 5290 Baltimore Dr, La Mesa, CA 91942-2080 2016-06-13
1578948089 Kimberly Donghee Lee Nurse Practitioner 8860 Center Dr Ste 400, La Mesa, CA 91942-7003 2015-07-26
1457670119 Kimberly Lane Nurse Practitioner 8851 Center Dr, Suite 501, La Mesa, CA 91942-3017 2010-05-20
Find all providers in LA MESA

Competitor

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City LA MESA
Zip Code 91941

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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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