Active NPI
Abraldo Marlo Perez, DPT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1235566878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40493
- Practice address
- 473 34TH St
Oakland, CA 94609-2815 - Phone
- (510) 339-2116
- Fax
- (510) 339-0647
- NPI assigned
- Sep 27, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40493 | CA | Primary |
Addresses
Primary practice location
473 34TH St
Oakland, CA 94609-2815
Mailing address
473 34TH St
Oakland, CA 94609-2815
Phone (510) 339-2116
Other names 1
- Abe Perez
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40493 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| Simon Gibson | Physical Therapist | Past | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
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.
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
Physical Therapist
-
- Physical Therapist
- Oakland, CA
- NPI 1497099451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1235566878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 34TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092815",
"telephone_number": "510-339-2116",
"fax_number": "510-339-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 34TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092815",
"telephone_number": "510-339-2116",
"fax_number": "510-339-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ABRALDO",
"middle_name": "MARLO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-27",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABE",
"last_name": "PEREZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.