Active NPI
Jason Sanchez Perez, CAS
- Addiction (Substance Use Disorder) Counselor
- San Mateo, CA
National Provider Identifier
1316064207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 225 37TH Avenue
3Rd Floor
San Mateo, CA 94403 - Phone
- (209) 505-9644
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
225 37TH Avenue
3Rd Floor
San Mateo, CA 94403
Mailing address
225 37TH Ave
3Rd Floor
San Mateo, CA 94403-4324
Phone (209) 505-9644
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": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1316064207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 37TH AVE",
"address_2": "3RD FLOOR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034324",
"telephone_number": "209-505-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 37TH AVENUE",
"address_2": "3RD FLOOR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "209-505-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JASON",
"middle_name": "SANCHEZ",
"name_prefix": "Mr.",
"credential": "CAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.