Individual provider Active NPI

Mollie Deidre Perez

  • Nurse Practitioner
  • Loma Linda, CA
National Provider Identifier
1255910659
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95034655 Issued in CA
Practice address
11262 Campus St
Loma Linda, CA 92350-1727
Phone
(909) 558-1000
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95034655 CA Primary

Addresses

Primary practice location

11262 Campus St
Loma Linda, CA 92350-1727

Mailing address

11262 Campus St
Loma Linda, CA 92350-1727
Phone (909) 558-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250905002590 CA Practitioner - Nurse Practitioner 0648772921 Reassigns benefits to 1 organization
I20260417001531 OR Practitioner - Nurse Practitioner 0648772921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3628 E Imperial Hwy
Suite 401
Lynwood, CA 90262-2646
Phone (310) 667-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034655CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Ca, a Professional Corporation CurrentSince Sep 2, 2025 Accepting new patients
The Oncology Institute Ca, a Professional Corporation CurrentSince Sep 2, 2025 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

9808 Venice Blvd
Ste 603
Culver City, CA 90232
Phone (310) 204-4565

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

3628 E Imperial Hwy
Ste 401
Lynwood, CA 90262
Phone (310) 667-4000

3628 E Imperial Hwy
Ste 406
Lynwood, CA 90262

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

21605 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (310) 935-4525

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mollie.perez@theoncologyinstitute.ikm.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1255910659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11262 CAMPUS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501727",
            "telephone_number": "909-558-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11262 CAMPUS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501727",
            "telephone_number": "909-558-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MOLLIE",
        "middle_name": "DEIDRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.