NPIMap

Organization Active NPI

Miguel G. de Perio M.D. Inc.

  • General Practice Physician
  • Corona, CA
National Provider Identifier
1558717686
Registry record updated May 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A43710 Issued in CA
Legal business name
MIGUEL G. DE PERIO M.D. INC.
Practice address
14476 Alder Dr
Corona, CA 92880-3517
Phone
(949) 463-4004
NPI assigned
May 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2016

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

Authorized official

Name
Dr. Miguel G De PerioNPI 1336320688
Title
Owner/President
Phone
(949) 463-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A43710 CA Primary

Addresses

Primary practice location

14476 Alder Dr
Corona, CA 92880-3517

Mailing address

14476 Alder Dr
Corona, CA 92880-3517
Phone (949) 463-4004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462579200000",
    "number": "1558717686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14476 ALDER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803517",
            "telephone_number": "949-463-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14476 ALDER DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803517",
            "telephone_number": "949-463-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL G. DE PERIO M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A",
        "authorized_official_last_name": "DE PERIO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-463-4004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A43710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; 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.