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PORSHA PETERSON NP
NPI 1992387088
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since April 27, 2021PECOS Enrolled
9621 S VERMONT AVE, LOS ANGELES, CA 90044(323) 586-7333 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Jul 19, 2021, Apr 27, 2021 (3 updates tracked since 2021).

About Porsha Peterson Np NPPES

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

PORSHA PETERSON NP (NPI 1992387088) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95017177) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1992387088
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePORSHA PETERSONCredential: NP
Location Address9621 S VERMONT AVELos Angeles, CA 90044-3217
Mailing Address9621 S Vermont AveLos Angeles, CA 90044-3217 · (323) 586-7333
Phone(323) 586-7333
Sole ProprietorNo
Enumeration DateApril 27, 2021
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1992387088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95017177
9621 S VERMONT AVE, Los Angeles, CA 90044
Open in Google Maps ↗

Secondary Practice Location 1

Location 11225 W 190th St Ste 280Gardena, CA 90248-4305 · Phone (877) 515-8113

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Porsha Peterson Np 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 90044 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

AMBER Y GARCIA
Rehabilitation Practitioner
9621 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 586-7333
DANIELLE TURENNE
Rehabilitation Practitioner
9621 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 586-7333
JADE CORTEZ
Rehabilitation Practitioner
9621 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 586-7333

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 Porsha Peterson's NPI number?

The NPI number for Porsha Peterson is 1992387088. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Porsha Peterson located?

Porsha Peterson practices at 9621 S Vermont Ave, Los Angeles, CA 90044. The listed phone number is (323) 586-7333.

What is Porsha Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Porsha Peterson enrolled in Medicare?

Yes. Porsha Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Porsha Peterson was last updated on July 12, 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.