Active NPI
Alison Perez, DDS
- General Practice Dentistry
- San Bernardino, CA
National Provider Identifier
1437637527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS102779
- Practice address
- 250 S G St
San Bernardino, CA 92410-3320 - Phone
- (909) 382-7100
- NPI assigned
- Aug 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS102779 | CA | Primary |
Addresses
Primary practice location
250 S G St
San Bernardino, CA 92410-3320
Mailing address
6940 Benevento PL
Rancho Cucamonga, CA 91701-8602
Phone (909) 684-9173
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102779 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Valley Community Health Care District | Past | Accepting new patients |
Interoperability endpoints
- aperez584232@direct.llu.edu
- https://fhir-usa.unify.chbase.com/org/bearvch-53b2cd9f
Organizations & group practices 1
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.
-
dba Bear Valley Rural Health Clinic
- Rural Health Clinic/Center
- Big Bear City, CA
- NPI 1871778803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1437637527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 BENEVENTO PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917018602",
"telephone_number": "909-684-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S G ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103320",
"telephone_number": "909-382-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ALISON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS102779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.