Individual
JANESSA I PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1755 COURT ST, REDDING, CA 96001-1721
(530) 247-8800
(530) 241-1174
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A110592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP10636NH01
ANTHEM
—
01
—
1290921
AETNA
—
05
—
30206045
—
NH
01
—
4149148
MVP
—
01
—
732288
CIGNA
—
01
—
AA62493
HARVARD PILGRIM HEALTH
—
Enumeration date
06/12/2006
Last updated
01/11/2022
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