Active NPI
Doris Perez
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
National Provider Identifier
1710642657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2701 Screech Owl Way
Sacramento, CA 95834-2648 - Phone
- (916) 475-4344
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2701 Screech Owl Way
Sacramento, CA 95834-2648
Mailing address
2701 Screech Owl Way
Sacramento, CA 95834-2648
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dperez17@dons.usfca.edu | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1710642657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 SCREECH OWL WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 SCREECH OWL WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342648",
"telephone_number": "916-475-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DORIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dperez17@dons.usfca.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2701 Screech Owl Way",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958342648",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.