Organization Active NPI

BGM Medical Services Inc a Medical Corporation

Doing business as Perris Clinic

  • Public Health & General Preventive Medicine Physician
  • Perris, CA
National Provider Identifier
1780356790
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
BGM MEDICAL SERVICES INC A MEDICAL CORPORATION
Doing business as
Perris Clinic
Perris Urgent Care
Practice address
524 W 4TH St Ste B
Perris, CA 92570-2016
Phone
(951) 355-0030
Fax
(951) 420-5005
NPI assigned
Sep 29, 2021
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Belinda AddoNPI 1437517489
Title
Secretary
Phone
(951) 355-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X
Family Medicine Physician 207Q00000X
Public Health & General Preventive Medicine Physician 2083P0901X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Physician Assistant 363A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Respite Care 385H00000X
Community Health Worker 172V00000X

Addresses

Primary practice location

524 W 4TH St Ste B
Perris, CA 92570-2016

Mailing address

524 W 4TH St Ste B
Perris, CA 92570-2016
Phone (951) 355-0030

Other names 2

  • Perris Clinic Doing business as
  • Perris Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220204000946 CA Part B Supplier - Clinic/Group Practice 3577956051 Receives reassigned benefits from 6 practitioners
Practice locations: Perris, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2151972Perris Clinic Perris Urgent Care524 West 4TH Street Suite B, Perris, CA 92570Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1780356790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W 4TH ST STE B",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702016",
            "telephone_number": "951-355-0030",
            "fax_number": "951-420-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W 4TH ST STE B",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702016",
            "telephone_number": "951-355-0030",
            "fax_number": "951-420-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGM MEDICAL SERVICES INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "ADDO",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-355-0030"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perris Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perris Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perris Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.