Active NPI
Alejandro Leonides Yambing Perez, M.D.
- Forensic Psychiatry Physician
- Atascadero, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- A137765
- Practice address
- 10333 El Camino Real
Atascadero, CA 93422 - Phone
- (805) 468-2000
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | A137765 | CA | Primary |
| Psychiatry Physician | 2084P0800X | A137765 | CA |
Addresses
Primary practice location
10333 El Camino Real
Atascadero, CA 93422
Mailing address
10333 El Camino Real
Atascadero, CA 93422-5808
Phone (805) 468-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10333 El Camino Real
Atascadero State Hospital
Atascadero, CA 93423-7001
Phone (916) 651-8811
5300 Town and Country Blvd
Suite 240
Frisco, TX 75034-6894
Phone (469) 833-3360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137765 | CA | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Evolve Psychiatry MD, Inc. | Psychiatry | Current | Accepting new patients |
| Traditions Psychiatry Group, P.C | Psychiatry | Current | Accepting new patients |
Locations
10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
5300 Town and Country Blvd
Ste 240
Frisco, TX 75034
Phone (469) 833-3360
Interoperability endpoints
- aperez16290@alamedahs.direct-ci.com
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatry Physician
- Frisco, TX
- NPI 1659031573
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1275951832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10333 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225808",
"telephone_number": "805-468-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10333 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "93422",
"telephone_number": "805-468-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ALEJANDRO",
"middle_name": "LEONIDES YAMBING",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2022-01-11",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A137765",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A137765",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.