Emilio Perdomo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108235 Issued in CA

Practice address

3478 Buskirk Ave Ste 1000
Pleasant Hill, CA 94523-4378

Phone

(925) 289-8788

NPI assigned

Mar 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1366027245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE STE 1000",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234378",
            "telephone_number": "925-289-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE STE 1000",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234378",
            "telephone_number": "925-289-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Salvio St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945192599",
            "country_code": "US",
            "telephone_number": "925-682-8000 x3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "EMILIO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144396979",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearle Visioncare, Inc
• Pediatric Dentistry of Pleasant Hill
• Stephen Jordan Pennington, RN
• Venkata N Penugonda, RPH
• Barbara Peppin
• Artemio Albert Perez, D.O.
• Eric Adrian Perez, DDS
• Greta Teresa Perez
• Lolice Perez
• Ricardo M. Perez, D.D.S.

• Clinical Social Worker in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.