Omar Perez MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A30938 Issued in CA

Legal business name

OMAR PEREZ MD INC

Practice address

10728 Ramona Blvd
Suite a
El Monte, CA 91731-2601

Phone

(626) 442-9430

Fax

(626) 442-1563

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omar Perez, M.D.NPI 1043393465

Title

Physician

Phone

(626) 442-9430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Perez, MD

  • Family Medicine Physician
  • El Monte, CA
  • NPI 1043393465
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1578816930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10728 RAMONA BLVD",
            "address_2": "SUITE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312601",
            "telephone_number": "626-442-9430",
            "fax_number": "626-442-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10728 RAMONA BLVD",
            "address_2": "SUITE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312601",
            "telephone_number": "626-442-9430",
            "fax_number": "626-442-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR PEREZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-442-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A30938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Olascuaga, R1328541118
• Artemisa Oliva, LCSW
• Leticia Raquel Olivas, PPS
• Cindy Oliver
• Cristal Oliveros
• Jenifer H. Ono, OTR/L
• Marlene Ontiveos
• Ifunanya Ozioma Oparah
• Nancy Orellana
• Justine Orendain

• Clinic/Center in El Monte, CA
• Providers in El Monte, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.