Nathan Shawn Peralta Thephavongsa, - Couples Therapy in Represa, CA

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Nathan Shawn Peralta Thephavongsa, is a Marriage & Family Therapist based in Represa, California. Nathan Shawn Peralta Thephavongsa is licensed to practice in California (license number 151868) and his current practice location is 100 Folsom Prison Rd, Represa, California. He can be reached at his office (for appointments etc.) via phone at (916) 985-8610.

NPI number for Nathan Shawn Peralta Thephavongsa is 1912630450 and his current mailing address is 3341 Jami Ct, Roseville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912630450.

Contact Information

Nathan Shawn Peralta Thephavongsa,
100 Folsom Prison Rd,
Represa, CA 95671-6245
(916) 985-8610
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameNathan Shawn Peralta Thephavongsa
GenderMale
SpecialityMarriage & Family Therapist
Location100 Folsom Prison Rd, Represa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912630450
  • Provider Enumeration Date: 07/01/2022
  • Last Update Date: 02/21/2025

Medical Identifiers

Medical identifiers for Nathan Shawn Peralta Thephavongsa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912630450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
106H00000XMarriage & Family Therapist 151868 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan Shawn Peralta Thephavongsa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nathan Shawn Peralta Thephavongsa,
3341 Jami Ct,
Roseville, CA 95747-9149

Ph: (408) 438-7827		Nathan Shawn Peralta Thephavongsa,
100 Folsom Prison Rd,
Represa, CA 95671-6245

Ph: (916) 985-8610

Reviews and Comments


Marriage & Family Therapist in Represa, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.