Individual provider Active NPI

Cris Perez, DO

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1366824914
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60866862 Issued in WA
Practice address
1322 3Rd St SE Ste 302
Puyallup, WA 98372-3771
Phone
(206) 288-9269
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60866862 WA Primary

Addresses

Primary practice location

1322 3Rd St SE Ste 302
Puyallup, WA 98372-3771

Mailing address

7006 189TH Street CT E
Puyallup, WA 98375-2425
Phone (206) 288-9269

Other practice location 1

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL perezcri@Multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202001154 WA Practitioner - Family Practice 1557634862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians

Practice addresses (Care Compare)

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60866862WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Medicine CurrentSince Oct 30, 2019 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 30, 2019 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Mar 12, 2021 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

669 Woodland Square Loop SE
Lacey, WA 98503
Phone (360) 359-4840

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 7

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

Hospital & facility affiliations 1

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1366824914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 189TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752425",
            "telephone_number": "206-288-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 3RD ST SE STE 302",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723771",
            "telephone_number": "206-288-9269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CRIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60866862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "perezcri@Multicare.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1322 3rd St SE Ste 302",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983723771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.