Active NPI
Dominic Perez
- Mental Health Counselor
- Santa Ana, CA
National Provider Identifier
1306234547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2215 N Broadway # 200
Santa Ana, CA 92706-2663 - Phone
- (714) 221-6400
- Fax
- (714) 221-6401
- NPI assigned
- Dec 22, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2215 N Broadway # 200
Santa Ana, CA 92706-2663
Mailing address
401 E 63Rd St
Long Beach, CA 90805-2926
Phone (714) 595-9767
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": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1306234547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 63RD ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052926",
"telephone_number": "714-595-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 N BROADWAY # 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062663",
"telephone_number": "714-221-6400",
"fax_number": "714-221-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DOMINIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.