1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Physician Assistant
  6. NPI Profile

MRS. CARMEN M PETRUS P.A.
NPI 1467458455
Physician Assistant - Medical in Anaheim, CA

Active since June 23, 2005
1211 W LA PALMA AVE, STE 502, ANAHEIM, CA 92801(714) 776-7090(714) 776-5632 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Carmen M Petrus P.a. NPPES

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

MRS. CARMEN M PETRUS P.A. (NPI 1467458455) is an individual medical provider in Anaheim, California, licensed in California (PA14772) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1467458455
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. CARMEN M PETRUSCredential: P.A.
Location Address1211 W LA PALMA AVE, STE 502Anaheim, CA 92801-2815
Mailing Address1211 W La Palma Ave, Ste 502Anaheim, CA 92801-2815 · (714) 776-7090 · Fax (714) 776-5632
Phone(714) 776-7090
Fax(714) 776-5632
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateApril 21, 2011
✔ NPI 1467458455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA14772
1211 W LA PALMA AVE, Anaheim, CA 92801
Open in Google Maps ↗

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.

ALEEM A SYED MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1211 W LA PALMA AVE, SUITE 702
ANAHEIM, CA 92801
Orange County (714) 533-0300
DR. ASHLEY E. MIRES M.D.
Hospitalist
1211 W LA PALMA AVE, #207
ANAHEIM, CA 92801
Orange County (714) 772-8282
DR. MICHAEL P BLUM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1211 W LA PALMA AVE, SUITE 604
ANAHEIM, CA 92801
Orange County (714) 772-2200
ZOHREH SHAKERI PA-C
Physician Assistant
1211 W LA PALMA AVE, SUITE 207
ANAHEIM, CA 92801
Orange County (714) 772-8282
DR. ARCHANA C SHENDE M D
Internal Medicine
1211 W LA PALMA AVE, SUITE 309
ANAHEIM, CA 92801
Orange County (714) 999-1050
ARCHANA SHENDE M D INC
Internal Medicine
1211 W LA PALMA AVE, 309
ANAHEIM, CA 92801
Orange County (714) 999-1050
MARK P MILLER M.D.
Internal Medicine (Interventional Cardiology)
1211 W LA PALMA AVE, SUITE 101
ANAHEIM, CA 92801
Orange County (714) 635-9680
AGMG ENDOSCOPY CENTER A GENERAL PARTNERSHIP
Clinic/Center (Ambulatory Surgical)
1211 W LA PALMA AVE, STE 301
ANAHEIM, CA 92801
Orange County (714) 284-0737

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 Carmen Petrus's NPI number?

The NPI number for Carmen Petrus is 1467458455. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Carmen Petrus located?

Carmen Petrus practices at 1211 W La Palma Ave Ste 502, Anaheim, CA 92801. The listed phone number is (714) 776-7090.

What is Carmen Petrus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Carmen Petrus was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.