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NPI Code Detail

MEDICARE: CASSANDRA PEREGOY RN

MEDICARE: CASSANDRA PEREGOY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95353655CA

General Provider Information

NPI Number : 1659223394
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA PEREGOY RN
Provider Business Mailing Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 831-540-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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