IndividualActive
Breanna Van Pernis
NPI 1114854536 · Community Health Worker · Stockton, CA
Breanna Van Pernis is a Community Health Worker provider in Stockton, CA (NPI 1114854536).
Provider details
- NPI number
- 1114854536
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 N Pilgrim St
Stockton, CA 95205-4428
Phone: (209) 466-0853
Fax: (209) 466-0853
Street-level locationGet directions
Mailing address
430 N Pilgrim St
Stockton, CA 95205-4428
Registry dates
- Enumerated
- 2026-05-07
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Breanna Van Pernis's NPI number?
- Breanna Van Pernis's National Provider Identifier (NPI) is 1114854536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breanna Van Pernis's specialty?
- Breanna Van Pernis is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Breanna Van Pernis located?
- Breanna Van Pernis's practice location on file with NPPES is 430 N Pilgrim St, Stockton, CA 95205-4428.
- What is Breanna Van Pernis's phone number?
- The practice phone number listed in the NPPES registry for Breanna Van Pernis is (209) 466-0853.
- Is Breanna Van Pernis's NPI active?
- Yes — Breanna Van Pernis's NPI (1114854536) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.