Raul A Perez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1387130420 Issued in CA

Practice address

13682 Yorba St
Tustin, CA 92780-1831

Phone

(714) 579-9760

NPI assigned

Dec 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Homes of America Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1902253560
  NPD (past)
• Recovery Homes of America Inc

  • Substance Abuse Rehabilitation Facility
  • Tustin, CA
  • NPI 1962549295
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1669068524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13682 YORBA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801831",
            "telephone_number": "714-579-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13682 YORBA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801831",
            "telephone_number": "714-579-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAUL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1387130420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanira Pena
• Jean C. Penilla, LMFT
• Brenda Perez
• Carolyn Perez
• Rachel Denise Perez, BA
• Rossy Alicia Perez, PA-C
• Performance Medical Inc
• Judy Jean Permejo
• Pham Consulting, LLC
• Angela Diemanh Pham

• Addiction (Substance Use Disorder) Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.