JACQUELINE M. PERETTI MD – NPI #1174082168
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

JACQUELINE PERETTI is a military health care provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1174082168 to JACQUELINE PERETTI on March 18, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JACQUELINE M RINE. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was last updated on Jun 27, 2024. See the complete NPI profile for JACQUELINE PERETTI below.

NPI Profile for
JACQUELINE M. PERETTI

NPI Number
1174082168
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELINE M. PERETTI
Former Name: JACQUELINE M RINE
Credentials
MD
Primary location
3235 ALBACORE ALY
SAN DIEGO, CA 92136-5199
Phone: (209) 373-9646 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.