Active NPI
Patricia Perez, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1669628962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28798
- Practice address
- 1453 W Temple St
Los Angeles, CA 90026 - Phone
- (213) 241-0979
- Fax
- (213) 241-0925
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Clinical Psychologist | 103TC0700X | 28798 | CA | Primary |
Addresses
Primary practice location
1453 W Temple St
Los Angeles, CA 90026
Mailing address
1453 W Temple St
Los Angeles, CA 90026
Phone (213) 241-0979
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1669628962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-241-0979",
"fax_number": "213-241-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-241-0979",
"fax_number": "213-241-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "PATRICIA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2022-10-25",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.