Active NPI
Jacob Perez
- Counselor
- Merced, CA
National Provider Identifier
1205426293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 301 E 13TH St Ste D
Merced, CA 95341-6211 - Phone
- (209) 386-1096
- Fax
- (209) 720-0234
- NPI assigned
- Jan 22, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
301 E 13TH St Ste D
Merced, CA 95341-6211
Mailing address
PO Box 643
Livingston, CA 95334-0643
Phone (209) 360-1293
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": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1205426293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643",
"city": "LIVINGSTON",
"state": "CA",
"postal_code": "953340643",
"telephone_number": "209-360-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 13TH ST STE D",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-386-1096",
"fax_number": "209-720-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.