Individual provider Active NPI

Rosanna R Perez, D.C.

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1225320120
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30815 Issued in CA
Practice address
2065 S Escondido Blvd Ste 105
Escondido, CA 92025-8221
Phone
(760) 565-2225
Fax
(760) 565-2225
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30815 CA Primary

Addresses

Primary practice location

2065 S Escondido Blvd Ste 105
Escondido, CA 92025-8221

Mailing address

2065 S Escondido Blvd Ste 105
Escondido, CA 92025-8221
Phone (760) 565-2225

Other practice location 1

240 W Mission Ave
Ste. C
Escondido, CA 92025-1700
Phone (760) 839-3448

Other identifiers 1

IdentifierTypeStateIssuer
FM494AMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000810 CA Practitioner - Chiropractic 9335312230 Reassigns benefits to 1 organization
Practice locations: Escondido, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2065 S Escondido Blvd
Suite 105
Escondido, CA 92025-8221
Phone (760) 565-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Chiropractic Chiropractor CurrentSince Jun 11, 2018 Accepting new patients
Perez Chiropractic Inc Chiropractor CurrentSince Jan 4, 2018 Accepting new patients

Locations

2065 S Escondido Blvd
Ste 105
Escondido, CA 92025
Phone (760) 565-2225

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225320120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 S ESCONDIDO BLVD STE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920258221",
            "telephone_number": "760-565-2225",
            "fax_number": "760-690-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 S ESCONDIDO BLVD STE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920258221",
            "telephone_number": "760-565-2225",
            "fax_number": "760-565-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 W Mission Ave",
            "address_2": "Ste. C",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251700",
            "country_code": "US",
            "telephone_number": "760-839-3448",
            "fax_number": "760-839-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSANNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FM494A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.