Luis A Perez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A56266 Issued in CA

Practice address

390 N Sepulveda Blvd
Suite 1000
El Segundo, CA 90245-4401

Phone

(310) 640-9911

Fax

(310) 322-8068

NPI assigned

Jan 4, 2007

Last updated

May 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBGECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Medical Group Holding Company, Inc.

  dba Sierra Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1780832972

  Family Medicine

  Medicare reassignment NPD
• U.S. Healthworks Medical Group, PC

  • Urgent Care Clinic/Center
  • El Segundo, CA
  • NPI 1770038580
  NPD (past)
• Vanguard Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235498718
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1598812174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5771",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911170771",
            "telephone_number": "323-336-5585",
            "fax_number": "323-843-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N SEPULVEDA BLVD",
            "address_2": "SUITE 1000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454401",
            "telephone_number": "310-640-9911",
            "fax_number": "310-322-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A562660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Perez
• Katerine Perez
• Katherine Perez
• Kenya Perez
• Leslie Perez
• Malinalli Perez
• Melissa Perez
• Merilyn Perez
• Michelle Perez
• Moises J Perez, DO

• Family Medicine Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.