Individual provider Active NPI

Jorge Francisco Perez, M.D.

  • Emergency Medicine Physician
  • Chino, CA
National Provider Identifier
1639113897
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A64393 Issued in CA
Practice address
5451 Walnut Ave
Chino, CA 91710-2609
Phone
(909) 464-8666
Fax
(909) 464-8913
NPI assigned
Jun 16, 2006
Last updated
May 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A64393 CA Primary

Addresses

Primary practice location

5451 Walnut Ave
Chino, CA 91710-2609

Mailing address

PO Box 60038
Arcadia, CA 91066-6038
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A643930MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031219000833 CA Practitioner - Emergency Medicine 8628975380 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Anaheim Emergency Medical Group Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Sep 1, 2006 Accepting new patients
Spectrum Emergency Physicians Group Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Vep MLK Emergency Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Downey Radiology Associates Past Accepting new patients
Chino Emergency Medical Associates Emergency Medicine Past Accepting new patients
Valley Emergency Medical Associates Emergency Medicine Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

Dept LA 25308
Pasadena, CA 91185

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1639113897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60038",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910666038",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "909-464-8666",
            "fax_number": "909-464-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JORGE",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A64393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A643930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.