NPIMap

Individual provider Active NPI

Francis X Perez, MD

  • Family Medicine Physician
  • West Allis, WI
National Provider Identifier
1295812204
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82813 Issued in CA
Practice address
801 S 70TH St
West Allis, WI 53214-3147
Phone
(414) 773-6600
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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 A82813 CA Primary

Addresses

Primary practice location

801 S 70TH St
West Allis, WI 53214-3147

Mailing address

1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Phone (414) 763-7319

Other identifiers 1

IdentifierTypeStateIssuer
34692500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000459 CA Practitioner - Family Practice 8325013592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Marin Community ClinicGroup PAC ID 0840108031, shared by 7 NPIs, 28 clinicians

Practice addresses (Care Compare)

6090 Redwood Blvd
Novato, CA 94945-4569
Phone (415) 448-1500

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • Luxor Care Home Health Services Home health agency, Vallejo, CA, CCN 059681
  • Carelink Home Health Agency LLC Home health agency, Burlingame, CA, CCN 059364
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

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
A82813CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Marin Hospitalist Medical Group, Inc. CurrentSince Jun 26, 2018 Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients
Central Coast in-Patient Consultants, Inc. Family Medicine Past Accepting new patients
Clinton Back & Neck Care Center Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: xperez585204@direct.ochin.org

Organizations & group practices 7

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 6

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1295812204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041418",
            "telephone_number": "414-763-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143147",
            "telephone_number": "414-773-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FRANCIS",
        "middle_name": "X",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34692500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.