Individual provider Active NPI

Manuel Joseph Perez, LCSW

  • Clinical Social Worker
  • Highland, CA
National Provider Identifier
1225607013
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101144 Issued in CA
Practice address
27194 Baseline St Ste D
Highland, CA 92346-3197
Phone
(909) 903-7330
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101144 CA Primary

Addresses

Primary practice location

27194 Baseline St Ste D
Highland, CA 92346-3197

Mailing address

27194 Baseline St Ste D
Highland, CA 92346-3197
Phone (909) 253-9963

Other practice location 1

28265 Kane Ct
Highland, CA 92346-3874
Phone (909) 253-9963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206000503 CA Practitioner - Clinical Social Worker 6901249077 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel Perez, a Licensed Clinical Social Worker, Apc Clinical CurrentSince Nov 1, 2025 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jan 3, 2024 Accepting new patients

Locations

27194 Baseline St
Ste D
Highland, CA 92346
Phone (909) 903-7330

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1225607013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27194 BASELINE ST STE D",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463197",
            "telephone_number": "909-253-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27194 BASELINE ST STE D",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463197",
            "telephone_number": "909-903-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28265 Kane Ct",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "CA",
            "postal_code": "923463874",
            "country_code": "US",
            "telephone_number": "909-253-9963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MANUEL",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

Verify at the official NPI Registry.