Healthcare Provider Details

I. General information

NPI: 1871445957
Provider Name (Legal Business Name): BEVERLY ANN PEREZ LUNAR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 E LAURA CT
VISALIA CA
93292-9276
US

IV. Provider business mailing address

2281 LAVA RIDGE CT STE 200
ROSEVILLE CA
95661-2805
US

V. Phone/Fax

Practice location:
  • Phone: 916-823-8139
  • Fax: 916-251-0407
Mailing address:
  • Phone: 916-823-8139
  • Fax: 916-251-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95038495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: