Organization Active NPI

Kathryn a. Perry, D.O., Inc.

  • Neuromusculoskeletal Medicine & OMM Physician
  • San Dimas, CA
National Provider Identifier
1558521310
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A8577 Issued in CA
Legal business name
KATHRYN A. PERRY, D.O., INC.
Practice address
554 E Foothill Blvd
Ste. 120
San Dimas, CA 91773-1222
Phone
(909) 592-8399
Fax
(909) 592-8399
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Kathryn A. Perry, D.O.
Title
President
Phone
(909) 592-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 20A8577 CA Primary

Addresses

Primary practice location

554 E Foothill Blvd
Ste. 120
San Dimas, CA 91773-1222

Mailing address

554 E Foothill Blvd
Ste. 120
San Dimas, CA 91773-1222
Phone (909) 592-8399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1558521310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 E FOOTHILL BLVD",
            "address_2": "STE. 120",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731222",
            "telephone_number": "909-592-8399",
            "fax_number": "909-592-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 E FOOTHILL BLVD",
            "address_2": "STE. 120",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731222",
            "telephone_number": "909-592-8399",
            "fax_number": "909-592-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN A. PERRY, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-592-8399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A8577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.