Gerard Stephen Perera, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033971 Issued in CA

Practice address

3839 W 1St St
Suite B-1
Santa Ana, CA 92703-4075

Phone

(714) 554-5062

Fax

(714) 554-5062

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Aqeela Syeda Shah DDS Inc

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1285075960
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164612107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 W 1ST ST",
            "address_2": "SUITE B-1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927034075",
            "telephone_number": "714-554-5062",
            "fax_number": "714-554-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 W 1ST ST",
            "address_2": "SUITE B-1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927034075",
            "telephone_number": "714-554-5062",
            "fax_number": "714-554-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "GERARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B33971-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip M Percy, LCSW
• Monique Perdomo
• Lily Marie Perdue
• Karla Peregrino
• Bethanie Erin Pereira, M.D.
• Alejandra Pereyra
• Miguel Perez Delgado, RADT
• Marco Ivan Perez Flores
• Daisy Mayela Perez Gamboa, MS, APCC
• Stephanie Janette Perez Lorenzana

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.