Provider Demographics
NPI:1881246494
Name:PECSAR, JANET LEIGH (NP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LEIGH
Last Name:PECSAR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3591 DONNA DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2723
Mailing Address - Country:US
Mailing Address - Phone:858-342-6117
Mailing Address - Fax:
Practice Address - Street 1:2525 PIO PICO DR STE 301
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1568
Practice Address - Country:US
Practice Address - Phone:760-431-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-13
Last Update Date:2019-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily