Individual provider Active NPI

Frederick Perez, RN, CEN, NP-C

  • Family Nurse Practitioner
  • Aliso Viejo, CA
National Provider Identifier
1760017479
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95013489 Issued in CA
Practice address
26831 Aliso Creek Rd
Aliso Viejo, CA 92656-5341
Phone
(949) 382-1909
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95013489 CA Primary

Addresses

Primary practice location

26831 Aliso Creek Rd
Aliso Viejo, CA 92656-5341

Mailing address

26831 Aliso Creek Rd
Aliso Viejo, CA 92656-5341
Phone (949) 382-1909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514000170 CA Practitioner - Nurse Practitioner 0345671970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370

8970 Warner Ave
Fountain Valley, CA 92708-3211
Phone (714) 477-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP95013489CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Emergency Physicians, P.C. CurrentSince Dec 1, 2021 Accepting new patients
Hoag Clinic CurrentSince Jan 23, 2023 Accepting new patients
Marque Medical Clinic, Inc CurrentSince May 15, 2020 Accepting new patients
Marque Medical Clinic, Inc. CurrentSince May 15, 2020 Accepting new patients
Marque Medical Clinic, Inc. PastSince Mar 9, 2020 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

26831 Aliso Creek Rd
Ste 200
Aliso Viejo, CA 92656
Phone (949) 235-9375

8970 Warner Ave
Fountain Vly, CA 92708
Phone (714) 477-8400

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266

2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266

10391 Magnolia Ave
Riverside, CA 92505

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

4490 Fanuel St
Ste 100
San Diego, CA 92109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1760017479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26831 ALISO CREEK RD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565341",
            "telephone_number": "949-382-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26831 ALISO CREEK RD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565341",
            "telephone_number": "949-382-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "RN, CEN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95013489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.