Marilyn Monique Perez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21952 Issued in CA

Practice address

222 W Henderson Ave
Porterville, CA 93257-1731

Phone

(559) 784-5483

Fax

(559) 784-5483

NPI assigned

Oct 24, 2011

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marilyn Monique Rodriguez Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marilyn.perez.1@6501.direct.athenahealth.com

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

• Clinica Sierra Vista

  dba East Bakersfield Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1861494338
  Medicare reassignment
• Kaweah Delta Health Care District

  dba Kaweah Health Cardiothoracic Surgery Clinic

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment
• Kaweah Delta Health Care District

  dba Kaweah Health Urgent Care

  • Urgent Care Clinic/Center
  • Visalia, CA
  • NPI 1790795458
  Medicare reassignment
• Clinica Sierra Vista

  dba Baker Street Village Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1205222544
  NPD
• Clinica Sierra Vista

  dba Lamont Pharmacy

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Youth Crisis Stabilization Unit

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Medical Clinic - Plaza

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1447941794
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Urgent Care

  • Urgent Care Clinic/Center
  • Visalia, CA
  • NPI 1568975290
  NPD

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1427334424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483",
            "fax_number": "559-784-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483",
            "fax_number": "559-784-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARILYN",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "RODRIGUEZ",
            "middle_name": "MONIQUE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suman Penta, MD
• People Dental
• Ember L Perez
• Esther Perez, RD
• Jennie Marie Perez
• Richard Tino Perez III, CADC-CAS
• Xavier Agustin Perez, RADT
• Michael James Peters Jr., DPT
• Michelle Peters
• Tu Anh Phan

• Physician Assistant in Porterville, CA
• Providers in Porterville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.