Active NPI
Osvaldo Perez
- Mental Health Counselor
- Camarillo, CA
National Provider Identifier
1669007266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5284 Adolfo Rd
Camarillo, CA 93012-6787 - Phone
- (805) 289-0120
- NPI assigned
- Mar 4, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5284 Adolfo Rd
Camarillo, CA 93012-6787
Mailing address
5284 Adolfo Rd
Camarillo, CA 93012-6787
Phone (805) 289-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56CC | Other | CA | MEDI-CAL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | aspiranet.org | ||
| CONNECT URL | aspiranet.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspira Foster & Family Services - Ventura | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Camarillo, CA
- NPI 1215071899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1669007266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5284 ADOLFO RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930126787",
"telephone_number": "805-289-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5284 ADOLFO RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930126787",
"telephone_number": "805-289-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "OSVALDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "56CC",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "aspiranet.org",
"affiliation": "N",
"address_1": "5284 Adolfo Rd Ste 100",
"city": "Camarillo",
"state": "CA",
"country_code": "US",
"postal_code": "930126790",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "aspiranet.org",
"affiliation": "N",
"address_1": "5284 Adolfo Rd",
"city": "Camarillo",
"state": "CA",
"country_code": "US",
"postal_code": "930126787",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.