Active NPI
Bernardo Perez III, D.C.
- Chiropractor
- Pasadena, CA
National Provider Identifier
1073826657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31709
- Practice address
- 74 N Fair Oaks Ave
Pasadena, CA 91103-3610 - Phone
- (626) 344-8382
- NPI assigned
- Jul 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31709 | CA | Primary |
Addresses
Primary practice location
74 N Fair Oaks Ave
Pasadena, CA 91103-3610
Mailing address
618 Fairview Ave
#116
Arcadia, CA 91007-6781
Phone (626) 826-2182
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31709 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1073826657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 FAIRVIEW AVE",
"address_2": "#116",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910076781",
"telephone_number": "626-826-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033610",
"telephone_number": "626-344-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "BERNARDO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.