Pricilla Louise Perey Generoso, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A194869 Issued in CA

Practice address

1045 W Redondo Beach Blvd Ste 100
Gardena, CA 90247-4275

Phone

(310) 532-5558

NPI assigned

May 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Annette a Coronel-Perey MD Inc

  • Pediatrics Physician
  • Gardena, CA
  • NPI 1952670341
  Medicare reassignment NPD

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1053987305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 100",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474275",
            "telephone_number": "310-532-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 100",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474275",
            "telephone_number": "310-532-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEROSO",
        "first_name": "PRICILLA LOUISE",
        "middle_name": "PEREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A194869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adedute A Gbadehan, M.D.
• Geal Medical LLC
• Stacey L Gealer
• Rebecca Gearty
• Angela Andrade Geekiyanage
• George Thompson Jr. M.D. Inc.
• Joyce Susan George, M.D.
• Mollar Georgy, HAD
• Mark Anthony Gerger, DMD
• Aileen German Aguilar

• Family Medicine Physician in Gardena, CA
• Providers in Gardena, 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 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.