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NPI Code Detail

MEDICARE: CRISTINA ANGELA PEREZ MSN, RN, FNP

MEDICARE: CRISTINA ANGELA PEREZ MSN, RN, FNP
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
1363LF0000XFamily Nurse Practitioner95003660CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195003660OTHERCAFNP

General Provider Information

NPI Number : 1861859084
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA ANGELA PEREZ MSN, RN, FNP
Provider Business Mailing Address
First Line : 3660 PARK SIERRA DR STE 203
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-3071
Country : US
Telephone Number : 951-687-3400
Fax Number : 951-687-7630
Provider Business Practice Location Address
First Line : 141 W FOOTHILL BLVD
Second Line :
City : UPLAND
State : CA
Zip : 91786-8705
Country : US
Telephone Number : 909-296-8800
Fax Number : 909-296-8928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2016
Last Update Date : 03/09/2026

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