Active NPI
Gibson Perez, MSN, RN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Anaheim, CA
National Provider Identifier
1184547671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95040227
- Practice address
- 2411 W la Palma Ave
Anaheim, CA 92801-2610 - Phone
- (714) 876-6041
- NPI assigned
- Aug 1, 2026
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95040227 | CA | Primary |
Addresses
Primary practice location
2411 W la Palma Ave
Anaheim, CA 92801-2610
Mailing address
2411 W la Palma Ave
Anaheim, CA 92801-2610
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1184547671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 W LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 W LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012610",
"telephone_number": "714-876-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "GIBSON",
"name_prefix": "Mr.",
"credential": "MSN, RN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-01",
"last_updated": "2026-08-09",
"certification_date": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95040227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.