Individual provider Active NPI

Fidel M Perez

  • Family Medicine Physician
  • Indio, CA
National Provider Identifier
1235868571
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
198957 Issued in CA
Practice address
82013 Dr Carreon Blvd Ste M
Indio, CA 92201-5832
Phone
(760) 262-0233
NPI assigned
Jun 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 198957 CA Primary

Addresses

Primary practice location

82013 Dr Carreon Blvd Ste M
Indio, CA 92201-5832

Mailing address

82013 Dr Carreon Blvd Ste M
Indio, CA 92201-5832
Phone (760) 262-0233

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Indio Other

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818002234 CA Practitioner - Emergency MedicinePractitioner - Family Practice 3173022035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1695 N Sunrise Way
Palm Springs, CA 92262-3701

2100 Powell St
Emeryville, CA 94608-1826

2100 Powell St
Suite 400
Emeryville, CA 94608-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
198957CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Health Group Inc. Family Medicine CurrentSince Aug 10, 2025 Accepting new patients
County of Riverside CurrentSince Jul 1, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 14, 2025 Accepting new patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Jul 1, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 14, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

Interoperability endpoints

  • Direct secure messaging: fperez1248631@direct.llu.edu

Organizations & group practices 7

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1235868571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD STE M",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "760-262-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD STE M",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "760-262-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FIDEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "198957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Indio",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Indio",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Indio",
            "address_1": "82389 Grant Dr",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922018526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.