PETRONA D HOLLOWAY
NPI 1952239774
Nurse Practitioner - Family in San Diego, CA

Q: What is Petrona Holloway's NPI number?

The NPI number for Petrona Holloway is 1952239774. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Q: What is Petrona Holloway'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 Petrona Holloway was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 May 12, 2026PECOS Enrolled

404 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108(800) 316-6314 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Petrona D Holloway NPPES

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

PETRONA D HOLLOWAY (NPI 1952239774) is an individual family provider in San Diego, California, licensed in California (95039138) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952239774

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePETRONA D HOLLOWAY

Location Address404 CAMINO DEL RIO S STE 102San Diego, CA 92108-3586

Mailing Address404 Camino Del Rio S Ste 102San Diego, CA 92108-3586 · (800) 316-6314

Phone(800) 316-6314

Sole ProprietorNo

Enumeration DateMay 12, 2026

NPPES CertifiedMay 12, 2026

✔ NPI 1952239774 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 · 95039138

404 CAMINO DEL RIO S STE 102, San Diego, CA 92108

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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)

Petrona D Holloway 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

SANDEEP KAUR

Nurse Practitioner (Family)