NPIMap

Individual provider Active NPI

Jonathan E Perley, M.D.

  • Urology Physician
  • Lakewood, CA
National Provider Identifier
1326017831
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A76527 Issued in CA
Practice address
3650 South St
#408
Lakewood, CA 90712-1502
Phone
(562) 630-0423
Fax
(562) 630-0660
NPI assigned
Mar 16, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A76527 CA Primary

Addresses

Primary practice location

3650 South St
#408
Lakewood, CA 90712-1502

Mailing address

3650 South St
#408
Lakewood, CA 90712-1502
Phone (562) 630-0423

Other identifiers 1

IdentifierTypeStateIssuer
A76527OtherCACALIFORNIA MEDICAL LICENS

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
I20040526000871 CA Practitioner - Urology 6002897048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Long Beach Genito-Urinary Med GRPGroup PAC ID 0143258723, 4 clinicians

Practice addresses (Care Compare)

3650 S St
Suite 408
Lakewood, CA 90712-1510
Phone (562) 630-0423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76527CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Sep 4, 2010 Accepting new patients
Greater Long Beach Genito-Urinary Med GRP Urology CurrentSince Apr 1, 2002 Accepting new patients
Southern California Urology Medical Group Urology Current Accepting new patients
County of Los Angeles CurrentSince Sep 4, 2010 Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
Multi Health Care Medical Group Inc. Urology PastSince Oct 1, 2002 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

3650 South St
Ste 408
Lakewood, CA 90712
Phone (562) 630-0423

1045 Atlantic Ave
Ste 915
Long Beach, CA 90813
Phone (562) 596-1667

10941 Bloomfield St
Ste A
Los Alamitos, CA 90720
Phone (562) 596-1667

433 N 4th St
Ste 201
Montebello, CA 90640
Phone (323) 726-8322

433 N 4th St
Ste 205
Montebello, CA 90640
Phone (323) 278-5525

433 N 4th St
Ste 205A
Montebello, CA 90640
Phone (323) 208-0946

620 W Beverly Blvd
Montebello, CA 90640
Phone (323) 869-0871

13132 Studebaker Rd
Ste 10
Norwalk, CA 90650
Phone (562) 280-7176

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 8

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1326017831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "#408",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-630-0423",
            "fax_number": "562-630-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "#408",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-630-0423",
            "fax_number": "562-630-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLEY",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A76527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "A76527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.