John M. Peric MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN M. PERIC MD INC

Practice address

2701 W Alameda Ave
Suite 403
Burbank, CA 91505-4402

Phone

(818) 570-0542

Fax

(818) 558-1156

NPI assigned

Aug 8, 2011

Last updated

Aug 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mario Peric, MDNPI 1285664664

Title

MD, Owner

Phone

(818) 570-0542

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• John M Peric, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1285664664
  Authorized official Same address or phone

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1770862856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 MOORPARK ST",
            "address_2": "#188",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916022618",
            "telephone_number": "818-570-0542",
            "fax_number": "818-558-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE",
            "address_2": "SUITE 403",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054402",
            "telephone_number": "818-570-0542",
            "fax_number": "818-558-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. PERIC MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "PERIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "818-570-0542",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A79419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dustin Johnson, H.I.S.
• Jordan Johnson

• Family Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.