Active NPI
Jose A Perez, M.D.
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A20957
- Practice address
- 3500 Whittier Blvd BLDG Suite107
Los Angeles, CA 90023-1746 - Phone
- (323) 604-0260
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A20957 | CA | Primary |
Addresses
Primary practice location
3500 Whittier Blvd BLDG Suite107
Los Angeles, CA 90023-1746
Mailing address
3500 Whittier Blvd BLDG Suite107
Los Angeles, CA 90023-1746
Phone (323) 604-0260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A209570 | Medicaid | CA | |
| 05D1013669 | Other | CA | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1962
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3500 Whittier Blvd
Suite 107
Los Angeles, CA 90023-1746
Phone (323) 604-0260
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20957 | CA | MD | Professional Counselor |
| A20957 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose a. Perez, MD, Inc | Family Medicine | Past | Accepting new patients |
| Jose a Perez MD | Family Medicine | Past | Accepting new patients |
| Isaias de Guzman Paja Jr. MD Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Inglewood, CA
- NPI 1437862968
-
- Physician Assistant
- Inglewood, CA
- NPI 1679893531
-
- Medical Physician Assistant
- Lomita, CA
- NPI 1801069984
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1225229636
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1174682025
-
- Clinic/Center
- Los Angeles, CA
- NPI 1184061533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1104991561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WHITTIER BLVD BLDG SUITE107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231746",
"telephone_number": "323-604-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 WHITTIER BLVD BLDG SUITE107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231746",
"telephone_number": "323-604-0260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JOSE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A20957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A209570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D1013669",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.