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

Mrs. Susana Peralta Marquez, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1184379786

Mrs. Susana Peralta Marquez, NURSEPRACTITIONER is a Nurse Practitioner in LA Mesa, California. Qualified in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

8080 Parkway Dr
LA Mesa, CA 91942-2104
Phone: (619) 589-3296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95019983 (CA)

Record details

NPI number1184379786
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 14, 2022
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Mesa