Individual provider Active NPI

Luz Maria Perez

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1023897246
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119045 Issued in CA
Practice address
3890 Murphy Canyon Rd Ste 250
San Diego, CA 92123-4408
Phone
(760) 842-6205
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119045 CA Primary

Addresses

Primary practice location

3890 Murphy Canyon Rd Ste 250
San Diego, CA 92123-4408

Mailing address

3890 Murphy Canyon Rd Ste 250
San Diego, CA 92123-4408
Phone (760) 726-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119045CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Lifeline CurrentSince Dec 3, 2023 Accepting new patients
North County Lifeline CurrentSince Dec 24, 2023 Accepting new patients

Locations

3890 Murphy Canyon Rd
Ste 250
San Diego, CA 92123
Phone (760) 509-3386

200 Michigan Ave
Vista, CA 92084
Phone (760) 509-3331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1023897246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 MURPHY CANYON RD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234408",
            "telephone_number": "760-726-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 MURPHY CANYON RD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234408",
            "telephone_number": "760-842-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.