Amy Aixa Perez, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117765 Issued in CA

Practice address

6400 Laurel Canyon Blvd Ste 500
North Hollywood, CA 91606-1562

Phone

(818) 901-4879

Fax

(818) 997-1370

NPI assigned

Jun 14, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1730863366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD STE 500",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061562",
            "telephone_number": "818-901-4879",
            "fax_number": "818-997-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD STE 500",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061562",
            "telephone_number": "818-901-4879",
            "fax_number": "818-997-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14550 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914052210",
            "country_code": "US",
            "telephone_number": "818-901-4879",
            "fax_number": "818-997-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AMY",
        "middle_name": "AIXA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117765",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penn Soh, DDS, Corp
• Penny Lane Centers
• Penny Lane Centers
• Pennylane
• Chris Peppers, PTA
• Angel Perez
• Estrella Beatriz Perez
• Jackie Lynn Perez
• Perfect Harmony Home Health, Inc.
• Perfect Home Health Care,Inc.

• Clinical Social Worker in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.