Active NPI
Elizar Jay Perez, RN
- Registered Nurse
- Chula Vista, CA
National Provider Identifier
1336875863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95106512
- Practice address
- 2058 Quartet Loop Unit 1
Chula Vista, CA 91915-2733 - Phone
- (619) 761-2134
- NPI assigned
- Jul 27, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95106512 | CA | Primary |
Addresses
Primary practice location
2058 Quartet Loop Unit 1
Chula Vista, CA 91915-2733
Mailing address
2058 Quartet Loop Unit 1
Chula Vista, CA 91915-2733
Phone (619) 761-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNK | Other | COUNTY OF SAN DIEGO, PUBLIC HEALTH NURSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95106512 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1336875863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 QUARTET LOOP UNIT 1",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919152733",
"telephone_number": "619-761-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2058 QUARTET LOOP UNIT 1",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919152733",
"telephone_number": "619-761-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ELIZAR",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95106512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY OF SAN DIEGO, PUBLIC HEALTH NURSE",
"identifier": "UNK",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.