Individual provider Active NPI

Juan Cambron Perez, CPT, CNA

  • Independent Medical Examiner Physician
  • Santa Barbara, CA
National Provider Identifier
1063240463
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
CPT-02166464 Issued in CA
Practice address
625 State St Ste 230
Santa Barbara, CA 93101-3301
Phone
(805) 951-8577
Fax
(805) 410-9584
NPI assigned
Jul 25, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Contractor 171W00000X
Independent Medical Examiner Physician 202C00000X CPT-02166464 CA Primary

Addresses

Primary practice location

625 State St Ste 230
Santa Barbara, CA 93101-3301

Mailing address

625 State St Ste 230
Santa Barbara, CA 93101-3301
Phone (805) 951-8577

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
CPT-02166464CAMDIndependent Medical Examiner Physician

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1063240463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 STATE ST STE 230",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013301",
            "telephone_number": "805-951-8577",
            "fax_number": "805-410-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STATE ST STE 230",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013301",
            "telephone_number": "805-951-8577",
            "fax_number": "805-410-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRON PEREZ",
        "first_name": "JUAN",
        "credential": "CPT, CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "CA",
            "license": "CPT-02166464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.