NPIMap

Organization Active NPI

Monica Perlman MD Inc.

Doing business as Perlman Clinic

  • Primary Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1215458153
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G70356 Issued in CA
Legal business name
MONICA PERLMAN MD INC.
Doing business as
Perlman Clinic
Practice address
4142 Adams Ave Ste 102
San Diego, CA 92116-2593
Phone
(858) 617-0717
NPI assigned
Jun 30, 2017
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Mitchell Perlman
Title
Ceo
Phone
(858) 554-1212

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G70356 CA Primary
Urgent Care Clinic/Center 261QU0200X 544547 CA
Family Medicine Physician 207Q00000X 544547 CA
Internal Medicine Physician 207R00000X 544547 CA

Addresses

Primary practice location

4142 Adams Ave Ste 102
San Diego, CA 92116-2593

Mailing address

9850 Genesee Ave
Suite 320
La Jolla, CA 92037-1208
Phone (858) 554-1212

Other names 1

  • Perlman Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2135799Perlman Clinic4142 Adams Ave Ste 102, San Diego, CA 92116Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Monica Perlman MD Inc39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

4142 Adams Ave
Ste 102
San Diego, CA 92116
Phone (858) 617-0717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1215458153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 320",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371208",
            "telephone_number": "858-554-1212",
            "fax_number": "858-554-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162593",
            "telephone_number": "858-617-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA PERLMAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-554-1212"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G70356",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "544547",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "544547",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "544547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perlman Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perlman Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.