Michelle Dominique Perro, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G65989 Issued in CA

Practice address

1350 S Eliseo Dr
Suite 120
Greenbrae, CA 94904-2011

Phone

(415) 451-9476

Fax

(415) 451-4977

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807

  Pediatrics

  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1205981586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ELISEO DR",
            "address_2": "SUITE 120",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042011",
            "telephone_number": "415-455-9199",
            "fax_number": "415-455-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ELISEO DR",
            "address_2": "SUITE 120",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042011",
            "telephone_number": "415-451-9476",
            "fax_number": "415-451-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRO",
        "first_name": "MICHELLE",
        "middle_name": "DOMINIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G65989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bansuri Patel-Thakkar, DO
• Sujatha Pathi, M.D.
• Marta Patterson
• George K Paul, M.D.
• Connor William Pearce, M.S.
• Personaleyes, Inc
• Peter S Uzelac MD, Inc
• Peter Uzelac MD, Inc
• Mark Arthur Peterson, MD
• David Pham

• Pediatrics Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.