NPIMap

Individual provider Active NPI

Raimel Yturralde Perez-Pasiliao, M.D.

  • Pediatrics Physician
  • Chino, CA
National Provider Identifier
1255400248
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A86687 Issued in CA
Practice address
12574 Central Ave
Chino, CA 91710-3507
Phone
(909) 627-7433
Fax
(562) 365-3532
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A86687 CA Primary

Addresses

Primary practice location

12574 Central Ave
Chino, CA 91710-3507

Mailing address

7940 Serenity Falls Rd
Corona, CA 92880-3396
Phone (626) 674-5284

Other identifiers 2

IdentifierTypeStateIssuer
1750506689OtherCACOMMERCIAL INSURANCE
1750506689OtherCAHMO INSURANCE

Other names 1

  • Dr. Raimel Pelagia Yturralde Perez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontoffice.chino@perezpediatrics.com Direct

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Regional Hospital Past Accepting new patients
Raimel Y. Perez-Pasiliao, MD, Inc. Past Accepting new patients
Primecare Medical Group Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1255400248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SERENITY FALLS RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803396",
            "telephone_number": "626-674-5284",
            "fax_number": "562-365-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12574 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103507",
            "telephone_number": "909-627-7433",
            "fax_number": "562-365-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-PASILIAO",
        "first_name": "RAIMEL",
        "middle_name": "YTURRALDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1750506689",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO INSURANCE",
            "identifier": "1750506689",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontoffice.chino@perezpediatrics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12574 Central Ave",
            "city": "Chino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917103507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAIMEL PELAGIA",
            "last_name": "PEREZ",
            "middle_name": "YTURRALDE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.