Omar Perez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A30938 Issued in CA

Practice address

10728 E Ramona Blvd
Suite a
El Monte, CA 91731

Phone

(626) 442-9430

Fax

(626) 442-1563

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Omar Perez MD Inc

  • Clinic/Center
  • El Monte, CA
  • NPI 1578816930
  Medicare reassignment NPD Authorized official
• Ahmc Garfield Medical Center LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc Greater El Monte Comm Hosp LLC

  • Community/Retail Pharmacy
  • South El Monte, CA
  • NPI 1922115526
  NPD (past)
• Ahmc Monterey Park Hospital LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  NPD (past)
• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  NPD (past)
• St. Joseph Health Northern California, LLC

  • Rehabilitation Hospital Unit
  • Napa, CA
  • NPI 1609947282
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043393465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10728 E RAMONA BLVD",
            "address_2": "SUITE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-442-9430",
            "fax_number": "626-442-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10728 E RAMONA BLVD",
            "address_2": "SUITE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-442-9430",
            "fax_number": "626-442-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A30938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Perez
• Janette Perez, R1334170119
• Juan G Perez
• Mayra Perez, MSW
• Mayra Perez
• Rosemary Pespisa
• Peter Lee DMD Dental Corporation
• Peter Wang Chiropractic Corp.
• Eleanor Peters, CADC - CAS
• Priscilla Petersen

• Family Medicine Physician in El Monte, CA
• Providers in El Monte, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.