PORSHA PETERSON NP
NPI 1992387088
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Porsha Peterson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Porsha Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Porsha Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Porsha Peterson reassigns Medicare benefits to 2 organizations: Ehab Yacoub MD Inc. (Gardena, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Porsha Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Porsha Peterson, NP · NPI 1992387088
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 27, 2021.
## Identity
- **NPI:** 1992387088 (Entity type: Individual)
- **Enumerated:** April 27, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95017177 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9621 S VERMONT AVE, Los Angeles, CA 90044-3217
- **Phone:** (323) 586-7333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1992387088) · Data from the CMS NPPES public registry.