Roxane Juliet Perez, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 16948 Issued in CA

Practice address

800 N. St College Blvd
Student Health and Counseling Center
Fullerton, CA 92834-3069

Phone

(657) 278-2800

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Roxane Juliet Demos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879

  Family

  NPD
• California State University Fullerton

  • Community/Retail Pharmacy
  • Fullerton, CA
  • NPI 1730194366
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1245442482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6830",
            "address_2": "CSUF STUDENT HEALTH AND COUSSELING CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928343069",
            "telephone_number": "657-278-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N. ST COLLEGE BLVD",
            "address_2": "STUDENT HEALTH AND COUNSELING CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928343069",
            "telephone_number": "657-278-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROXANE",
        "middle_name": "JULIET",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 16948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANE",
            "last_name": "DEMOS",
            "middle_name": "JULIET",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriel Perez
• Ivan Jesus Perez
• Juan Regino Perez
• Katerina Perez, NP
• Priscilla Perez
• Sophia Perez, P.T.A., B.S.
• Susy Iracema Perez
• Zoey Darlene Perez
• Austin James Perkins, PA-C, ATC
• Jahlena Monique Perkins

• Family Nurse Practitioner in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.