Individual provider Active NPI

Alejandro Leonides Yambing Perez, M.D.

  • Forensic Psychiatry Physician
  • Atascadero, CA
National Provider Identifier
1275951832
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
A137765 Issued in CA
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

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171121002754 CA Practitioner - Psychiatry 9537426846 Reassigns benefits to 2 organizations
I20221020002512 TX Practitioner - Psychiatry 9537426846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians
Evolve Psychiatry MD, Inc.Group PAC ID 7810384005, 6 clinicians

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

LicenseStateTypeSpecialty
A137765CAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Jul 9, 2018 Accepting new patients
Evolve Psychiatry MD, Inc. Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Jul 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.