Organization Active NPI

Perry Medical Group of California

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1447970587
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PERRY MEDICAL GROUP OF CALIFORNIA
Practice address
16100 Sand Canyon Ave Ste 240
Irvine, CA 92618-3724
Phone
(978) 850-3914
Fax
(646) 365-0517
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Jennifer Harless
Title
Director, RCM
Phone
(508) 494-8275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 240
Irvine, CA 92618-3724

Mailing address

169 Madison Ave Ste 90030
New York, NY 10016-5101
Phone (978) 850-3914

National Provider Directory

National Provider Directory

Locations

215 Park Ave S
Fl 12
New York, NY 10003
Phone (469) 772-9400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1447970587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 90030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "978-850-3914",
            "fax_number": "646-365-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183724",
            "telephone_number": "978-850-3914",
            "fax_number": "646-365-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY MEDICAL GROUP OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HARLESS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "508-494-8275"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.