Active NPI
Perry Segal, M.D.
- Psychiatry Physician
- Los Gatos, CA
National Provider Identifier
1629138326
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C39242
- Practice address
- 250 Blossom Hill Rd
Suite 101
Los Gatos, CA 95032-4420 - Phone
- (408) 395-1441
- Fax
- (408) 395-1441
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C39242 | CA | Primary |
Addresses
Primary practice location
250 Blossom Hill Rd
Suite 101
Los Gatos, CA 95032-4420
Mailing address
250 Blossom Hill Rd
Suite 101
Los Gatos, CA 95032-4420
Phone (408) 395-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C392420 | Medicaid | CA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39242 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629138326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BLOSSOM HILL RD",
"address_2": "SUITE 101",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950324420",
"telephone_number": "408-395-1441",
"fax_number": "408-395-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BLOSSOM HILL RD",
"address_2": "SUITE 101",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950324420",
"telephone_number": "408-395-1441",
"fax_number": "408-395-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "PERRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C39242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C392420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.