Active NPI
Malea Ann Perez
- Prevention Professional
- St George, UT
National Provider Identifier
1124685599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 158940687
- Practice address
- 474 W 200 N
St George, UT 84770-4505 - Phone
- (435) 634-5600
- NPI assigned
- May 21, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 158940687 | UT | Primary |
Addresses
Primary practice location
474 W 200 N
St George, UT 84770-4505
Mailing address
232 Adobe Ridge Cir Apt 1
Washington, UT 84780-8451
Phone (435) 218-2475
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 |
|---|---|---|---|
| 158940687 | UT | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1124685599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 ADOBE RIDGE CIR APT 1",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847808451",
"telephone_number": "435-218-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 W 200 N",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847704505",
"telephone_number": "435-634-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MALEA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "UT",
"license": "158940687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.