Provider Demographics
NPI:1255461786
Name:PEPER, JANET (NURSE ANESTHETIST)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:PEPER
Suffix:
Gender:F
Credentials:NURSE ANESTHETIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NEWBURY RD STE 145
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6438
Mailing Address - Country:US
Mailing Address - Phone:805-498-3696
Mailing Address - Fax:
Practice Address - Street 1:351 ROLLING OAKS DR STE 101
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1278
Practice Address - Country:US
Practice Address - Phone:805-497-1105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA309706367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15143Medicare ID - Type UnspecifiedNURSE ANESTHETIST