NPIMap

Organization Active NPI

Cecilia Y Perez OD a Professional Optometric Corporation

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1760691315
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10219 TPA Issued in CA
Legal business name
CECILIA Y PEREZ OD A PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
1149 S Hill St
Suite 365
Los Angeles, CA 90015-2212
Phone
(213) 749-3461
Fax
(213) 749-1618
NPI assigned
May 21, 2007
Last updated
Apr 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Cecilia Y Perez, ODNPI 1093870453
Title
Optometrist
Phone
(213) 749-3461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT10219 TPA CA Primary

Addresses

Primary practice location

1149 S Hill St
Suite 365
Los Angeles, CA 90015-2212

Mailing address

1149 S Hill St
365
Los Angeles, CA 90015-2212
Phone (213) 749-3461

Other identifiers 1

IdentifierTypeStateIssuer
SD0102190MedicaidCA

Other names 1

  • Cecilia Y. Perez, OD A Professional Optometric Corporation Other name

National Provider Directory

National Provider Directory

Locations

1149 S Hill St
Ste 365
Los Angeles, CA 90015
Phone (213) 749-3461

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1760691315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 S HILL ST",
            "address_2": "365",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152212",
            "telephone_number": "213-749-3461",
            "fax_number": "213-749-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 S HILL ST",
            "address_2": "SUITE 365",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152212",
            "telephone_number": "213-749-3461",
            "fax_number": "213-749-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA Y PEREZ OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "213-749-3461",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10219 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0102190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cecilia Y. Perez, OD A Professional Optometric Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.