Robert G Perez, MD
Individual provider Active NPI Surgery Physician · Dally City, CA
NPI 1699866061 · NPPES record last updated Nov 6, 2012
Key facts
- NPI
- 1699866061
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- G58842 (CA)
- Practice address
- 1800 Sullivan Ave
Suite 507
Dally City, CA 94015 - Phone
- (650) 994-9936
- Fax
- (650) 994-2016
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Warren Alpert Medical School of Brown University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 Sullivan Ave
Daly City, CA 94015-2225
Phone (650) 994-9936
Hospital & facility affiliations
- Sequoia Hospital
- Ahmc Seton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 34 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040818001364 | CA | Practitioner - General Surgery | 0042283814 | Practice locations: Daly City, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rperez45789@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G58842 | CA | Yes |
Addresses
Primary practice location
1800 Sullivan Ave
Suite 507
Dally City, CA 94015
Mailing address
1800 Sullivan Ave
Suite 507
Dally City, CA 94015
Phone (650) 994-9936
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.