Active NPI
Illbred Perez
- Counselor
- San Bernardino, CA
National Provider Identifier
1285754861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148 - Phone
- (951) 378-3598
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Mailing address
600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Phone (951) 378-3598
Other practice location 1
3611 S Harbor Blvd
suite 100
santa ana, CA 92704-0928
Phone (714) 966-8666
Other practice location 2
15095 Amargosa Rd Ste 208
Victorville, CA 92394
Phone (760) 245-4695
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1285754861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 300",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011148",
"telephone_number": "951-378-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 300",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011148",
"telephone_number": "951-378-3598"
}
],
"practiceLocations": [
{
"address_1": "3611 S Harbor Blvd",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "santa ana",
"state": "CA",
"postal_code": "927040928",
"country_code": "US",
"telephone_number": "714-966-8666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15095 Amargosa Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "92394",
"country_code": "US",
"telephone_number": "760-245-4695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "ILLBRED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.