Individual provider Active NPI

Viviana Perales, M.A. ED S

  • School Psychologist
  • San Francisco, CA
National Provider Identifier
1598172686
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
220 Montgomery St Ste 1850
San Francisco, CA 94104-3531
Phone
(951) 977-1787
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X D6301559 CA
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

220 Montgomery St Ste 1850
San Francisco, CA 94104-3531

Mailing address

PO Box 1732
Upland, CA 91785-1732
Phone (951) 977-1787

Other practice location 1

13901 Amargosa Rd Suite 2
Victorville, CA 92392
Phone (760) 512-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
D6301559CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1598172686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1732",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851732",
            "telephone_number": "951-977-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST STE 1850",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043531",
            "telephone_number": "951-977-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13901 Amargosa Rd Suite 2",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "92392",
            "country_code": "US",
            "telephone_number": "760-512-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALES",
        "first_name": "VIVIANA",
        "credential": "M.A. ED S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "D6301559",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.