Active NPI
Christopher Perez
- Addiction (Substance Use Disorder) Counselor
- Lodi, CA
National Provider Identifier
1184194169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 8802
- Practice address
- 541 S Ham LN Ste a&B
Lodi, CA 95242-3059 - Phone
- (209) 224-8940
- NPI assigned
- Dec 3, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8802 | CA | Primary |
Addresses
Primary practice location
541 S Ham LN Ste a&B
Lodi, CA 95242-3059
Mailing address
541 S Ham LN Ste a&B
Lodi, CA 95242-3059
Phone (209) 224-8940
Other practice location 1
590 Rio Lindo Ave
Chico, CA 95926-1817
Phone (530) 897-0562
Other practice location 2
3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Current | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Locations
541 S Ham Ln
Ste Ab
Lodi, CA 95242
Phone (209) 224-8940
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.
-
- Methadone Clinic
- Lodi, CA
- NPI 1649669979
-
- Methadone Clinic
- Banning, CA
- NPI 1376293407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1184194169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 S HAM LN STE A&B",
"city": "LODI",
"state": "CA",
"postal_code": "952423059",
"telephone_number": "209-224-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 S HAM LN STE A&B",
"city": "LODI",
"state": "CA",
"postal_code": "952423059",
"telephone_number": "209-224-8940"
}
],
"practiceLocations": [
{
"address_1": "590 Rio Lindo Ave",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959261817",
"country_code": "US",
"telephone_number": "530-897-0562",
"fax_number": "530-345-0261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3707 E Shields Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937267029",
"country_code": "US",
"telephone_number": "559-229-9040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-03",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "8802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.