Emily Nicole Othello Perez, M.D.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

A169842 Issued in CA

Practice address

16702 Valley View Ave
La Mirada, CA 90638-5824

Phone

(562) 921-0341

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General SurgeryAlso: Hand Surgery

Education

Howard University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emily.perez.p53@direct.tenet.nextgenshare.com

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.

• Healthpointe Medical Group, Inc.

  dba First Care Industrial Medicine Center

  • Specialist
  • Anaheim, CA
  • NPI 1548201304
  Medicare reassignment NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Ontario, CA
  • NPI 1740221472
  Medicare reassignment NPD
• Dkumar LLC

  dba Atlanta Hand Specialist

  • Surgery of the Hand (Surgery) Physician
  • Smyrna, GA
  • NPI 1639408123
  Medicare reassignment NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Temecula, CA
  • NPI 1295192649
  NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1700286739
  NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Corona, CA
  • NPI 1073703377
  NPD (past)
• Healthpointe Medical Group, Inc.

  • Specialist
  • Garden Grove, CA
  • NPI 1487695847
  NPD (past)
• Healthpointe Medical Group, Inc.

  • Specialist
  • Long Beach, CA
  • NPI 1851678437
  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1790072718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "562-921-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_2": "Atlanta Medical Center- Dept of General Surgery",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-265-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EMILY",
        "middle_name": "NICOLE OTHELLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A169842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary H. Patuwo, D.D.S.
• Carla M Payton-Shelton
• Peaceful Nest Birth and Sleep LLC
• Laura K Pedigo, PSYD
• Christopher Rhee Pelton Sr., PTA
• Richard Joseph Perla, PH.D.
• Peter D Dang DPM Inc
• Peter H. Sim, M.D., Inc.
• Lucy Thanh Pham, PHARM D.
• Nghia Xuan Pham, M.D.

• Surgery of the Hand (Surgery) Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Surgery of the Hand (Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.