Individual provider Active NPI

Maurice A Perry, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Reseda, CA
National Provider Identifier
1659322550
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
WE3859A Issued in CA
Practice address
18039 Sherman Way
Reseda, CA 91335-4630
Phone
(818) 708-8100
Fax
(818) 705-8818
NPI assigned
May 15, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X WE3859A CA Primary

Addresses

Primary practice location

18039 Sherman Way
Reseda, CA 91335-4630

Mailing address

18039 Sherman Way
Reseda, CA 91335-4630
Phone (818) 708-8100

Other practice location 1

7345 Medical Center Dr Ste 280
West Hills, CA 91307-1937
Phone (818) 888-2855

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000316 CA Practitioner - Podiatry 2860524709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Medical Center 2Group PAC ID 8921139353, 3 clinicians

Practice addresses (Care Compare)

18039 Sherman Way
Reseda, CA 91335-4630
Phone (818) 708-8100

7345 Medical Ctr Dr
Suite 280
West Hills, CA 91307-1937
Phone (818) 888-2855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.45 of 100Reported as group
Quality
30
Promoting interoperability
100
Improvement activities
40
Cost
47.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue88
Removal of skin lesions1-10
Removal of nail tissue295
Removal or shaving of skin growth101
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3859CAMDSchool Psychologist
WE3859ACAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Orthopedics Medical Associates a Prof Medical Corp Foot & Ankle Surgery CurrentSince Jul 12, 1996 Accepting new patients
Orthopedic Medical Center2 Foot & Ankle Surgery CurrentSince Jun 1, 2010 Accepting new patients
West Hills Hospital Past Accepting new patients

Locations

18039 Sherman Way
Reseda, CA 91335
Phone (818) 708-8100

7345 Medical Center Dr
Ste 280
West Hills, CA 91307
Phone (818) 888-2855

1240 S Westlake Blvd
Ste 237
Westlake Vlg, CA 91361
Phone (805) 373-3700

Interoperability endpoints

  • Direct secure messaging: mperry@1432.securemail.prognocis.com
  • Direct secure messaging: mperry1294201@direct.uclahealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1659322550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18039 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354630",
            "telephone_number": "818-708-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18039 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354630",
            "telephone_number": "818-708-8100",
            "fax_number": "818-705-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 Medical Center Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913071937",
            "country_code": "US",
            "telephone_number": "818-888-2855",
            "fax_number": "818-888-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MAURICE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "WE3859A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.