Active NPI
Tiana Perez-Gibbs
- Counselor
- San Jose, CA
National Provider Identifier
1144766213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E1969344
- Practice address
- 4143 Ellmar Oaks
San Jose, CA 95136-3520 - Phone
- (408) 624-0866
- NPI assigned
- Jan 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | E1969344 | CA | Primary |
Addresses
Primary practice location
4143 Ellmar Oaks
San Jose, CA 95136-3520
Mailing address
4143 Ellmar Ave
San Jose, CA 95136-3520
Other names 1
- Tiana Perez
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 |
|---|---|---|---|
| E1969344 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1144766213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 ELLMAR AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951363520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4143 ELLMAR OAKS",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951363520",
"telephone_number": "408-624-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-GIBBS",
"first_name": "TIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "E1969344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIANA",
"last_name": "PEREZ",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.