Active NPI
Omar Gerardo Perestrejo, CERT MEDICAL INTERP
- Interpreter
- Kent, WA
National Provider Identifier
1083299507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interpreter
- Practice address
- 28051 121St Ave SE
Kent, WA 98030-8525 - Phone
- (206) 595-9254
- Fax
- (253) 239-4263
- NPI assigned
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Interpreter | 171R00000X | WA | Primary |
Addresses
Primary practice location
28051 121St Ave SE
Kent, WA 98030-8525
Mailing address
28051 121St Ave SE
Kent, WA 98030-8525
Phone (206) 595-9254
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1083299507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28051 121ST AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980308525",
"telephone_number": "206-595-9254",
"fax_number": "253-239-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28051 121ST AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980308525",
"telephone_number": "206-595-9254",
"fax_number": "253-239-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERESTREJO",
"first_name": "OMAR",
"middle_name": "GERARDO",
"name_prefix": "Mr.",
"credential": "CERT MEDICAL INTERP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.