Active NPI
Margarita Pereyda, M.D.
- Internal Medicine Physician
- Costa Mesa, CA
National Provider Identifier
1154476174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A54750
- Practice address
- 1550 Superior Ave
Costa Mesa, CA 92627-3653 - Phone
- (949) 650-0186
- Fax
- (949) 650-6976
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A54750 | CA | Primary |
Addresses
Primary practice location
1550 Superior Ave
Costa Mesa, CA 92627-3653
Mailing address
1550 Superior Ave
Costa Mesa, CA 92627-3653
Phone (949) 650-0186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A54750 | Other | CA | STATE LICENSE |
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
- Internal Medicine
- Education
- University of Michigan Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1670 E 120TH St
Los Angeles, CA 90059-3026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54750 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000
Organizations & group practices 2
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154476174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 SUPERIOR AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273653",
"telephone_number": "949-650-0186",
"fax_number": "949-650-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 SUPERIOR AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273653",
"telephone_number": "949-650-0186",
"fax_number": "949-650-6976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREYDA",
"first_name": "MARGARITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A54750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A54750",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.