EMILY PETTIS APRN
NPI 1841905635
Nurse Practitioner - Family in Costa Mesa, CA

Q: What is Emily Pettis's NPI number?

The NPI number for Emily Pettis is 1841905635. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Q: What is Emily Pettis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Pettis was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 17, 2023

437 16TH PL, COSTA MESA, CA 92627(949) 300-9704 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Emily Pettis Aprn NPPES

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

EMILY PETTIS APRN (NPI 1841905635) is an individual family provider in Costa Mesa, California, licensed in California (95023403) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1841905635

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEMILY PETTISCredential: APRN

Location Address437 16TH PLCosta Mesa, CA 92627-3211

Mailing Address437 16th PlCosta Mesa, CA 92627-3211 · (949) 300-9704

Phone(949) 300-9704

Sole ProprietorYes

Enumeration DateJanuary 17, 2023

NPPES CertifiedJanuary 17, 2023

✔ NPI 1841905635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95023403

437 16TH PL, Costa Mesa, CA 92627

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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 Emily Pettis's NPI number?

The NPI number for Emily Pettis is 1841905635. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Emily Pettis located?

Emily Pettis practices at 437 16th Pl, Costa Mesa, CA 92627. The listed phone number is (949) 300-9704.

What is Emily Pettis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Emily Pettis was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.