Individual provider Active NPI

Nathan Adam Perrizo, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Oceanside, CA
National Provider Identifier
1043309529
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A10372 Issued in CA
Practice address
3998 Vista Way Ste 108
Oceanside, CA 92056-4515
Phone
(760) 941-7336
Fax
(760) 943-6494
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A10372 CA Primary
Interventional Pain Medicine Physician 208VP0014X 20A10372 CA

Addresses

Primary practice location

3998 Vista Way Ste 108
Oceanside, CA 92056-4515

Mailing address

477 N El Camino Real Ste B301
Encinitas, CA 92024-1331
Phone (760) 753-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121210000258 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 1254583784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3998 Vista Way
C110
Oceanside, CA 92056-4589
Phone (760) 941-7336

Hospital & facility affiliations

  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E Wailes MD a Professional CurrentSince Jul 22, 2018 Accepting new patients
Pain Management Consultants a Professional Medical Corporation CurrentSince Aug 12, 2012 Accepting new patients

Locations

477 N El Camino Real
Ste B301
Encinitas, CA 92024
Phone (760) 633-3060

3998 Vista Way
Ste 108
Oceanside, CA 92056
Phone (760) 753-1104

3998 Vista Way
Ste C106
Oceanside, CA 92056
Phone (760) 941-2600

3998 Vista Way
#C106
Oceanside, CA 92056
Phone (760) 434-8053

3998 Vista Way
Ste C110
Oceanside, CA 92056
Phone (760) 491-7336

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHBAA/Endpoint/JGHBAA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1043309529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE B301",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241331",
            "telephone_number": "760-753-1104",
            "fax_number": "760-943-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE 108",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564515",
            "telephone_number": "760-941-7336",
            "fax_number": "760-943-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIZO",
        "first_name": "NATHAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A10372",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A10372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.