Individual provider Active NPI

John M Peric, MD

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1285664664
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A79419 Issued in CA
Practice address
2701 W Alameda Ave Ste 202
Burbank, CA 91505-4406
Phone
(818) 570-0542
Fax
(818) 558-1156
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A79419 CA Primary

Addresses

Primary practice location

2701 W Alameda Ave Ste 202
Burbank, CA 91505-4406

Mailing address

2701 W Alameda Ave Ste 202
Burbank, CA 91505-4406
Phone (818) 570-0542

Other identifiers 1

IdentifierTypeStateIssuer
0-470-102-5OtherECFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040115001187 CA Practitioner - Internal MedicinePractitioner - Family Practice 9638070352 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

191 S Buena Vista St
Suite 150
Burbank, CA 91505-4522
Phone (818) 295-5920

2701 W Alameda Ave
Suite 202
Burbank, CA 91505-4406
Phone (818) 570-0542

6819 Sepulveda Blvd
Suite 102
Van Nuys, CA 91405-4440
Phone (747) 264-1748

Hospital & facility affiliations

  • Day and Night Home Health Services, Inc. Home health agency, Sun Valley, CA, CCN 757937
  • Authorized Home Health Care, Inc. Home health agency, Valley Village, CA, CCN 753187
  • First Aid Home Health Care, Inc Home health agency, Burbank, CA, CCN 059289
  • VA Home Health Care Inc Home health agency, Sherman Oaks, CA, CCN 757700
  • Global Home Health, Inc Home health agency, Burbank, CA, CCN 058421
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Burbank Healthcare & Rehab Nursing home, Burbank, CA, CCN 056129
  • Sherman Oaks Health & Rehab Nursing home, Sherman Oaks, CA, CCN 056250

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
62.42
Promoting interoperability
76
Improvement activities
40
Cost
76.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79419CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JM Peric Inc Family Medicine CurrentSince Apr 7, 2021 Accepting new patients
High Desert Medical Group Family Medicine CurrentSince Mar 17, 2019 Accepting new patients
Mend Health Inc CurrentSince Aug 6, 2017 Accepting new patients
Get Well Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Healthcare Med GRP Family Medicine Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

2701 W Alameda Ave
Ste 202
Burbank, CA 91505
Phone (818) 570-0542

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997

4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366

12400 Ventura Blvd
Studio City, CA 91604
Phone (818) 789-0034

6819 Sepulveda Blvd
Ste 102
Van Nuys, CA 91405
Phone (747) 264-1748

6819 Sepulveda Blvd
Ste 102103
Van Nuys, CA 91405
Phone (228) 400-0004

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.peric.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1285664664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054406",
            "telephone_number": "818-570-0542",
            "fax_number": "818-558-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054406",
            "telephone_number": "818-570-0542",
            "fax_number": "818-558-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIC",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-470-102-5",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.