Mercy Yariela Perdomo Rodriguez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036159133 Issued in IL

Practice address

1580 1St St
Napa, CA 94559-2841

Phone

(707) 258-8757

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, IL2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of ColusaGroup PAC ID 3173656402, 8 clinicians

Alivio Medical Center, Inc.Group PAC ID 5698840924, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colusa Medical Center Hospital, Colusa, CA, CCN 050783

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Colusa

  dba Colusa County Mental Health

  • Community/Behavioral Health Agency
  • Colusa, CA
  • NPI 1902929052

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Alivio Medical Center, Inc.

  dba Alivio Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073617387

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Traditions Psychiatry Group, P.C

  dba Traditions Behavioral Health

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1083802979

  Multi-Specialty

  Medicare reassignment NPD
• Alivio Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1083860845
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colusa Medical Center LLC

  dba Colusa Medical Center

  • Rural Acute Care Hospital
  • Colusa, CA
  • NPI 1215475124
  Care Compare affiliation

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1376997502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 N MEADE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392724",
            "telephone_number": "352-634-4830",
            "fax_number": "505-272-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 1ST ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592841",
            "telephone_number": "707-258-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO RODRIGUEZ",
        "first_name": "MERCY",
        "middle_name": "YARIELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036159133",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "175057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT",
            "identifier": "390200000X",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084P0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bart Pense, LMFT
• Mya Pequeno
• Elia Guadalupe Peralta Landeros
• Taylor Perata
• Jessica Perazzo
• Betsabe Perez-Cardona
• Brisa Gisselle Perez-Mazo
• Lizbeth Perez-Paez
• Araceli Perez, PHN
• Cynthia Marie Perez, LMFT

• Psychiatry Physician in Napa, CA
• Providers in Napa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.