Active NPI
Monique Yvonne Perez, DDS
- Dentist
- Pasadena, CA
National Provider Identifier
1326122169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43648
- Practice address
- 175 S El Molino Ave
Suite 3
Pasadena, CA 91101-2564 - Phone
- (626) 796-9642
- Fax
- (626) 796-9681
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43648 | CA | Primary |
Addresses
Primary practice location
175 S El Molino Ave
Suite 3
Pasadena, CA 91101-2564
Mailing address
175 S El Molino Ave
Suite 3
Pasadena, CA 91101-2564
Phone (626) 796-9642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220001008 | CA | Order and Referring Only - Oral Surgery | 6406137066 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1326122169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S EL MOLINO AVE",
"address_2": "SUITE 3",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012564",
"telephone_number": "626-796-9642",
"fax_number": "626-796-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S EL MOLINO AVE",
"address_2": "SUITE 3",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012564",
"telephone_number": "626-796-9642",
"fax_number": "626-796-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MONIQUE",
"middle_name": "YVONNE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.