Active NPI
Maria Elena Perez, MA,MFT, RN, BSN
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1053869974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 110585
- Practice address
- 2701 I Street
Sacramento, CA 95816 - Phone
- (916) 835-4969
- Fax
- (916) 473-7247
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 372403 | CA | |
| Marriage & Family Therapist | 106H00000X | 110585 | CA | Primary |
Addresses
Primary practice location
2701 I Street
Sacramento, CA 95816
Mailing address
2701 I Street
Sacramento, CA 95816
Phone (916) 835-4969
Other practice location 1
8788 Elk Grove Blvd Ste L
Elk Grove, CA 95624-1768
Phone (916) 686-9209
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
- Credentials
- Bachelor on Science - Nursing, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110585 | CA | MD | General Practice Dentistry |
| 372403 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1053869974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 I STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-835-4969",
"fax_number": "916-473-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 I STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-835-4969",
"fax_number": "916-473-7247"
}
],
"practiceLocations": [
{
"address_1": "8788 Elk Grove Blvd Ste L",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "956241768",
"country_code": "US",
"telephone_number": "916-686-9209",
"fax_number": "916-686-9209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "MARIA",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"credential": "MA,MFT, RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "372403",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "110585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.