Healthcare Provider Details

I. General information

NPI: 1023927878
Provider Name (Legal Business Name): AMY PERAZA CD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9116 OAK GARDEN LN
SHAFTER CA
93263-9672
US

IV. Provider business mailing address

9116 OAK GARDEN LN
SHAFTER CA
93263-9672
US

V. Phone/Fax

Practice location:
  • Phone: 424-675-1477
  • Fax:
Mailing address:
  • Phone: 424-675-1477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: