| Jeanne M Perafan, NP | |
|
47110 Washington St Ste 203, La Quinta, CA 92253-2186 | |
| (760) 564-9205 | |
| (760) 771-6215 |
| Full Name | Jeanne M Perafan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 47110 Washington St Ste 203, La Quinta, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831377829 | NPI | - | NPPES |
| GR0101240 | Medicaid | CA | |
| NP17293 | Other | CA | MEDICAL LICENSE |
| GR0101241 | Medicaid | CA | |
| GR0101242 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN544390 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP17293 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edward A. Ruiz Md, Professional Corporation | 6305908872 | 2 |
| Erica M Ruiz, Md Professional | 6901968528 | 2 |
| Entity Name | Erica M Ruiz, Md Professional |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306092465 PECOS PAC ID: 6901968528 Enrollment ID: O20081216000363 |
| Entity Name | Edward A. Ruiz Md, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003072620 PECOS PAC ID: 6305908872 Enrollment ID: O20081217000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne M Perafan, NP Po Box 7278, La Quinta, CA 92248-7278 Ph: (760) 564-9205 | Jeanne M Perafan, NP 47110 Washington St Ste 203, La Quinta, CA 92253-2186 Ph: (760) 564-9205 |
Regina Tongson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, Suite 101, La Quinta, CA 92253 Phone: 760-777-4067 | |
Branka Vidic, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47110 Washington St Ste 203, La Quinta, CA 92253 Phone: 760-564-9205 | |
Garry Roger Dormevil, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr Ste 100, La Quinta, CA 92253 Phone: 805-719-3700 Fax: 805-413-9099 | |
Ms. Sierra H Boettcher, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79855 Derek Alan Dr, La Quinta, CA 92253 Phone: 760-485-6666 | |
Veronica Klein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79200 Corporate Center Dr Ste 201, La Quinta, CA 92253 Phone: 760-564-7900 | |
Marisa Chaidez Sanchez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr Ste 119, La Quinta, CA 92253 Phone: 442-324-0561 | |
Cristina Alejandra Valdez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79200 Corporate Center Dr Ste 201, La Quinta, CA 92253 Phone: 760-222-5502 |