Angel G Perez

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G79348 Issued in CA

Legal business name

ANGEL G PEREZ

Doing business as

Shalom Medical Clinic

Practice address

1721 N Wilmington Blvd
Wilmington, CA 90744-1261

Phone

(310) 835-1414

Fax

(310) 835-4050

NPI assigned

May 14, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angel G Perez, MDNPI 1477654440

Title

Owner

Phone

(310) 835-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHALOM MEDICAL CLINIC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel Guillen Perez, MEDICAL DOCTOR

  • Family Medicine Physician
  • Wilmington, CA
  • NPI 1477654440
  NPD (past) Authorized official
• Lucy Cuevas-Loya, PAC

  • Physician Assistant
  • Paramount, CA
  • NPI 1609916600
  NPD (past)
• Vanessa L Mansilla, NP

  • Family Nurse Practitioner
  • Bell Gardens, CA
  • NPI 1568634723
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1295940054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N WILMINGTON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441261",
            "telephone_number": "310-835-1414",
            "fax_number": "310-835-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N WILMINGTON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441261",
            "telephone_number": "310-835-1414",
            "fax_number": "310-835-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL G PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-835-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G793480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHALOM MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eileen Rene Anguiano, RADT-1
• Apex Physical Therapy, Inc.
• Tomoko Araki, LAC.
• Stephanie Arjona

• Family Medicine Physician in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.