Active NPI
William G. Perkins, M.D.
- Pediatric Critical Care Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1699779181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- G41589
- Practice address
- 17100 Euclid St.
Picu
Fountain Valley, CA 92708 - Phone
- (714) 966-7253
- Fax
- (714) 966-3354
- NPI assigned
- Jun 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | G41589 | CA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | G41589 | CA |
Addresses
Primary practice location
17100 Euclid St.
Picu
Fountain Valley, CA 92708
Mailing address
401 Los Altos Ave
Long Beach, CA 90814-1934
Phone (562) 494-0333
Other names 1
- Dr. William G. Perkins
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41589 | CA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Counties Pediatric Critical Care Medical Group | Pediatric Critical Care Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Pediatric Critical Care Medicine Physician
- Fountain Valley, CA
- NPI 1609853688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1699779181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 LOS ALTOS AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141934",
"telephone_number": "562-494-0333",
"fax_number": "562-494-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST.",
"address_2": "PICU",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "714-966-7253",
"fax_number": "714-966-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "WILLIAM",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "G41589",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "G41589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "PERKINS",
"middle_name": "G.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fountain Valley, CA
- Perfect Alliance Home Health, Inc.
- Perfect Touch Healthcare Services
- Perinatal DX Medical GRP Or Orange County
- Kathryn Caldwell Perkins Tift, M.D.
- Kendra Lee Perkins, D.O.
- Danielle Victoria Pershin
- Mahmood Peshimam, M.D.
- Peter Anderson MD Medical Corporation
- Peter E. Hagen, DDS, Inc
- Janet Peterson, SLPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.