Active NPI
Michael Perez, LCSW
- Clinical Social Worker
- Downey, CA
National Provider Identifier
1598948325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS11695
- Practice address
- 12200 Bellflower Blvd
Downey, CA 90242-2804 - Phone
- (562) 622-4300
- NPI assigned
- Dec 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS11695 | CA | Primary |
Addresses
Primary practice location
12200 Bellflower Blvd
Downey, CA 90242-2804
Mailing address
324 S Diamond Bar Blvd
Suite 110
Diamond Bar, CA 91765-1607
Phone (626) 374-3151
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS11695 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197676800000",
"number": "1598948325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 S DIAMOND BAR BLVD",
"address_2": "SUITE 110",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651607",
"telephone_number": "626-374-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 BELLFLOWER BLVD",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422804",
"telephone_number": "562-622-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-15",
"last_updated": "2007-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS11695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.