MRS. CARMEN M PETRUS (P.A.) – Medical Physician Assistant, NPI 1467458455

Medical Physician Assistant

MRS. CARMEN M PETRUS (P.A.) is a healthcare provider. based in Anaheim, California. specializing in Medical Physician Assistant. They hold the professional credentials P.A.. They hold a License No. PA14772 (CA). The NPI Number for MRS. CARMEN M PETRUS (P.A.) is 1467458455

Main info

Female

28 Years Of Experience

Accepts Medicare Assignment

Name

MRS. CARMEN M PETRUS (P.A.)

NPI

1467458455

Phone

(714) 776-7090

Address

1211 W LA PALMA AVE

Enumeration Date

23 June 2005

Last Update Date

21 April 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9095584000

Graduation Year

1998 (28 years ago)

PAC ID

6406752104

Group Practice PAC ID

1153227814

Professional Enrollment ID

I20031211001176

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. CARMEN M PETRUS (P.A.)

W La Palma Avenue, Anaheim, Orange County, California, 92805, United States
STE 502
ANAHEIM, CA 928012815
Phone: (714) 776-7090
Fax: (714) 776-5632
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1153227814View full group profile

Name	Specialty	State
ECLER ERCOLE JAQUA (M.D.)	-	CA
NAMRATA NICOLE SIHOTANG (NP)	-	CA
JOSEPH M WILKINSON (CRNA)	-	CA
SAMIRA MONAVVARI (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	CA
MR. RICHARD TANG (PA-C)	Physician Assistant	CA
VALERIE CRYSTAL REYES	Certified Registered Nurse Anesthetist (Crna)	CA
DR. JOHN VARUJAN AGAPIAN (M.D.)	Critical Care (Intensivists), General Surgery	CA
DR. DAVID CABA MOLINA (M.D, MS, MPH)	Surgical Oncology, General Surgery	IL
RYAN LAUER (M.D.)	A N E S T H E S I O L O G Y	CA
DANNY UPPALA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	CA

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Frequently asked questions

What is the registry number for MRS. CARMEN M PETRUS (P.A.)?

The registry entry for MRS. CARMEN M PETRUS (P.A.) shows NPI 1467458455.

Is MRS. CARMEN M PETRUS (P.A.)'s NPI status active today?

Active status means MRS. CARMEN M PETRUS (P.A.)'s NPI record is not deactivated in the public file.

What does the directory say MRS. CARMEN M PETRUS (P.A.) does?

Insurance directories may phrase it differently, but here MRS. CARMEN M PETRUS (P.A.) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Is MRS. CARMEN M PETRUS (P.A.) tied to Anaheim, California?

If you are local to Anaheim, California, MRS. CARMEN M PETRUS (P.A.) may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.