Active NPI
Ricardo Jay Perez, M.D.
- Family Medicine Physician
- Morgan Hill, CA
National Provider Identifier
1730230830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G389270
- Practice address
- 17600 Monterey St
Suite a
Morgan Hill, CA 95037-3669 - Phone
- (408) 779-0668
- NPI assigned
- Jan 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G389270 | CA | Primary |
Addresses
Primary practice location
17600 Monterey St
Suite a
Morgan Hill, CA 95037-3669
Mailing address
17600 Monterey St
Suite a
Morgan Hill, CA 95037-3669
Phone (408) 779-0668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G389270 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| G389270 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730230830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17600 MONTEREY ST",
"address_2": "SUITE A",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373669",
"telephone_number": "408-779-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17600 MONTEREY ST",
"address_2": "SUITE A",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373669",
"telephone_number": "408-779-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RICARDO",
"middle_name": "JAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G389270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G389270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.