Active NPI
Gabriela Perez
- Clinical Social Worker
- Fremont, CA
National Provider Identifier
1376681296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 74069
- Practice address
- 3300 Capitol Ave BLDG B
Fremont, CA 94538-1514 - Phone
- (510) 574-2170
- NPI assigned
- Feb 2, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 32744 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 74069 | CA | Primary |
Addresses
Primary practice location
3300 Capitol Ave BLDG B
Fremont, CA 94538-1514
Mailing address
3300 Capitol Ave BLDG B
Fremont, CA 94538-1514
Phone (510) 574-2170
Other practice location 1
22211 Foothill Blvd
Hayward, CA 94541-2712
Phone (510) 690-6040 ext. 3727
Other practice location 2
16378 E 14th St Ste 101
San Leandro, CA 94578-5121
Phone (510) 667-7529
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32744 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1376681296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CAPITOL AVE BLDG B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381514",
"telephone_number": "510-574-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CAPITOL AVE BLDG B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381514",
"telephone_number": "510-574-2170"
}
],
"practiceLocations": [
{
"address_1": "22211 Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945412712",
"country_code": "US",
"telephone_number": "510-690-6040 x3727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16378 E 14th St Ste 101",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945785121",
"country_code": "US",
"telephone_number": "510-667-7529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "32744",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "74069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.