Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Van Pernis

Individual provider Community Health Worker · NPI 1114854536

Breanna Van Pernis is a Community Health Worker in Stockton, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

430 N Pilgrim St
Stockton, CA 95205-4428
Phone: (209) 466-0853
Fax: (209) 466-0853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1114854536
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address430 N Pilgrim St, Stockton, CA 95205-4428

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