NPIMap

Organization Active NPI

Jorge Perez MD LTD

Doing business as Sierra Nevada Cancer Center

  • Hematology & Oncology Physician
  • South Lake Tahoe, CA
National Provider Identifier
1093055675
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C52554 Issued in CA
Legal business name
JORGE PEREZ MD LTD
Doing business as
Sierra Nevada Cancer Center
Practice address
1154 Emerald Bay Rd
South Lake Tahoe, CA 96150-6288
Phone
(775) 883-3336
Fax
(775) 883-3336
NPI assigned
Feb 19, 2013
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Jorge Perez, MD
Title
President
Phone
(775) 883-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C52554 CA Primary

Addresses

Primary practice location

1154 Emerald Bay Rd
South Lake Tahoe, CA 96150-6288

Mailing address

1801 W Olympic Blvd # 1359
Pasadena, CA 91199-0001
Phone (775) 883-3336

Other names 1

  • Sierra Nevada Cancer Center Doing business as

National Provider Directory

National Provider Directory

Locations

1801 W Olympic Blvd
#1349
Pasadena, CA 91199

1801 W Olympic Blvd
#1359
Pasadena, CA 91199

1154 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 452-4961

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1093055675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W OLYMPIC BLVD # 1359",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911990001",
            "telephone_number": "775-883-3336",
            "fax_number": "775-883-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506288",
            "telephone_number": "775-883-3336",
            "fax_number": "775-883-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE PEREZ MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-883-3336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C52554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.