Active NPI
Michael G Perera, M.D.
- Specialist
- Arcadia, CA
National Provider Identifier
1710918222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A26963
- Practice address
- 612 W Duarte Rd
Ste 702
Arcadia, CA 91007-9245 - Phone
- (626) 445-1853
- Fax
- (626) 445-8627
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A26963 | CA | Primary |
Addresses
Primary practice location
612 W Duarte Rd
Ste 702
Arcadia, CA 91007-9245
Mailing address
612 W Duarte Rd Ste 702
Arcadia, CA 91007-9245
Phone (626) 445-1853
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A26963 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710918222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W DUARTE RD STE 702",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079245",
"telephone_number": "626-445-1853",
"fax_number": "626-445-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W DUARTE RD",
"address_2": "STE 702",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079245",
"telephone_number": "626-445-1853",
"fax_number": "626-445-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERERA",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A26963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.