Raimel Y. Perez-Pasiliao, MD, Inc.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A86687 Issued in CA

Legal business name

RAIMEL Y. PEREZ-PASILIAO, MD, INC.

Practice address

12574 Central Ave
Chino, CA 91710-3507

Phone

(626) 674-5284

Fax

(909) 627-7433

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raimel Yturralde Perez-Pasiliao, M.D.NPI 1255400248

Title

Owner

Phone

(626) 674-5284

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raimel Yturralde Perez-Pasiliao, M.D.

  • Pediatrics Physician
  • Chino, CA
  • NPI 1255400248
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750506689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SERENITY FALLS RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803396",
            "telephone_number": "626-674-5284",
            "fax_number": "909-627-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12574 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103507",
            "telephone_number": "626-674-5284",
            "fax_number": "909-627-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIMEL Y. PEREZ-PASILIAO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ-PASILIAO",
        "authorized_official_first_name": "RAIMEL",
        "authorized_official_middle_name": "YTURRALDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-674-5284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A86687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Adolescent Medicine Physician in Chino, CA
• Providers in Chino, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.