Richard Eugene Altieri Perez, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A99516 Issued in CA

Practice address

1456 Professional Dr
Suite #404
Petaluma, CA 94954-6639

Phone

(707) 763-3967

NPI assigned

May 14, 2007

Last updated

Aug 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bozuk & Associates Surgical, Inc.

  • Surgery Physician
  • Petaluma, CA
  • NPI 1609912914
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1245446780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PTY #11716",
            "address_2": "PO BOX 25207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331023310",
            "telephone_number": "707-763-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PROFESSIONAL DR",
            "address_2": "SUITE #404",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546639",
            "telephone_number": "707-763-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIERI PEREZ",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A99516",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L8594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Pain Care
• Alma Dental Care a Dental Office of Richard Hada DMD, Inc.
• Alma First Fellows
• Patricia Suzanne Alsup, PH.D.
• Bushra Altarawneh
• Padma Shivani Aluru, MD
• Dioselina Alvarado, LVN
• Jasmine Alvarez Cruz
• Rosemary Mimi Marie Amaral
• Gisell Ambriz Gonzalez

• Surgery Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.