Individual provider Active NPI

Renato Perez

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1780081992
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80282 Issued in CA
Practice address
15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403
Phone
(626) 838-3728
NPI assigned
Dec 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 80282 CA Primary

Addresses

Primary practice location

15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403

Mailing address

1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931
Phone (213) 481-7464

Other practice location 1

1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931
Phone (213) 481-7464 ext. 135

Other names 1

  • Renato Perez Garcia Other name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525002343 CA Practitioner - Clinical Social Worker 8527446947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles LGBT CenterGroup PAC ID 8729975453, 29 clinicians

Practice addresses (Care Compare)

1625 Schrader Blvd
Los Angeles, CA 90028-6213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80282CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanecer Community Counseling Service, a Non-Profit Corporation CurrentSince Dec 3, 2022 Accepting new patients
Los Angeles LGBT Center Clinical CurrentSince May 9, 2022 Accepting new patients
Los Angeles LGBT Center CurrentSince May 9, 2022 Accepting new patients

Locations

1200 Wilshire Blvd
Ste 300
Los Angeles, CA 90017
Phone (213) 482-9400

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1780081992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171931",
            "telephone_number": "213-481-7464",
            "fax_number": "213-481-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "626-838-3728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171931",
            "country_code": "US",
            "telephone_number": "213-481-7464 x135",
            "fax_number": "213-481-7147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RENATO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-03",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENATO",
            "last_name": "PEREZ GARCIA",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.