Active NPI
Rodolfo Perez, M.D.
- Family Medicine Physician
- Brea, CA
National Provider Identifier
1215923271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A43007
- Practice address
- 500 W Central Ave
Suite B
Brea, CA 92821-3027 - Phone
- (714) 671-0768
- Fax
- (714) 257-6132
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A43007 | CA | Primary |
Addresses
Primary practice location
500 W Central Ave
Suite B
Brea, CA 92821-3027
Mailing address
279 Imperial Hwy
Suite 730
Fullerton, CA 92835-1041
Phone (714) 449-4842
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43007 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen of the Valley Medical Association | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215923271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 IMPERIAL HWY",
"address_2": "SUITE 730",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351041",
"telephone_number": "714-449-4842",
"fax_number": "714-449-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CENTRAL AVE",
"address_2": "SUITE B",
"city": "BREA",
"state": "CA",
"postal_code": "928213027",
"telephone_number": "714-671-0768",
"fax_number": "714-257-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RODOLFO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A43007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.