Angel Guillen Perez, MEDICAL DOCTOR

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G79348 Issued in CA

Practice address

1721 N Wilmington Blvd
Wilmington, CA 90744-1261

Phone

(310) 835-1414

Fax

(310) 835-4050

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Azul Medical Clinic Inc

  • Primary Care Clinic/Center
  • Bell Gardens, CA
  • NPI 1679626436
  Medicare reassignment NPD
• Angel G Perez

  • Family Medicine Physician
  • Wilmington, CA
  • NPI 1295940054
  NPD (past) Authorized official
• Pih Health Downey Hospital

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  NPD (past)
• Saint Francis Medical Center

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1467412726
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1477654440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 W TOSCANINI DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751808",
            "telephone_number": "310-521-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N WILMINGTON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441261",
            "telephone_number": "310-835-1414",
            "fax_number": "310-835-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGEL",
        "middle_name": "GUILLEN",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G793480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Parham
• Eunice Park
• Yvette Marie Parra, RAS
• Vaishali Patel, DDS
• Juan Carlos Pena, M.D.
• Personal Space Testing
• Richard M Peters, OD
• Robin Anne Petersen, SUDCCII
• Gam Nguyen Hong Pham, PA-C
• Jenevie Pham, DDS

• Family Medicine Physician in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.