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PERI GWENNETH KIZZIRE MCCLASKEY
NPI 1013764810
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since May 01, 2024PECOS Enrolled
309 E 2ND ST, POMONA, CA 91766(909) 469-5589 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, May 1, 2024 (2 updates tracked since 2024).

About Peri Gwenneth Kizzire Mcclaskey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERI GWENNETH KIZZIRE MCCLASKEY (NPI 1013764810) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013764810
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePERI GWENNETH KIZZIRE MCCLASKEY
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address309 E 2nd StPomona, CA 91766-1854 · (909) 469-5589
Phone(909) 469-5589
Sole ProprietorYes
Enumeration DateMay 1, 2024
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1013764810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

309 E 2ND ST, Pomona, CA 91766
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peri Gwenneth Kizzire Mcclaskey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY IRENE NIELSEN-BROWN PA-C
Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5386
BRITTNEY TUNON
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (703) 955-6286
MR. EVAN HERSHMAN
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
CHAU MINH NGUYEN PA-C
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (951) 892-4858
AMI PATEL
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
MR. FOUAD HAJJAR
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
THAO BICH VU
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
JULIA B DIAMANT
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peri Mcclaskey's NPI number?

The NPI number for Peri Mcclaskey is 1013764810. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Peri Mcclaskey located?

Peri Mcclaskey practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 469-5589.

What is Peri Mcclaskey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peri Mcclaskey enrolled in Medicare?

Yes. Peri Mcclaskey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peri Mcclaskey was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.