IndividualActive
Deborah Petriscak-Onken, DNP, GNP-BC
NPI 1376629709 · Gerontology Nurse Practitioner · Panorama City, CA
Provider details
- NPI number
- 1376629709
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, GNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 16717 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
13652 Cantara St
Balboa Plaza
Panorama City, CA 91402-5423
Phone: (818) 832-7258
Street-level locationGet directions
Mailing address
26853 Cold Springs St
Agoura Hills, CA 91301-5307
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.