Genesis Perez

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1819 Smythe Ave SPC 73
San Ysidro, CA 92173-1548

Phone

(619) 852-9536

NPI assigned

Feb 17, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1497348700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 SMYTHE AVE SPC 73",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731548",
            "telephone_number": "619-852-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 SMYTHE AVE SPC 73",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731548",
            "telephone_number": "619-852-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GENESIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Martin Ortega, MD
• Martha Padilla, IMF
• Marjorie Giselle Palacios, SPEECH, LANGUAGE PAT
• Alejandro Parra II
• Ryan Emmanuel Pascua
• Pharm-One, Inc.
• Phillipe Picart, RPH
• Laquita Shaunta Pierce
• Arturo Pintos, DDS
• Stefanie Platt

• Psychologist in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.