Individual provider Active NPI

Omar Gerardo Perestrejo, CERT MEDICAL INTERP

  • Interpreter
  • Kent, WA
National Provider Identifier
1083299507
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
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

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.