Active NPI
Lorraine Perez, RN, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Brea, CA
National Provider Identifier
1790147999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95003961
- Practice address
- 475 S State College Blvd
Brea, CA 92821-5726 - Phone
- (877) 847-3984
- Fax
- (888) 383-5708
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013931 | KY | |
| Family Nurse Practitioner | 363LF0000X | APRN02522 | RI | |
| Family Nurse Practitioner | 363LF0000X | 026482 | OH | |
| Family Nurse Practitioner | 363LF0000X | 5379302051 | KS | |
| Family Nurse Practitioner | 363LF0000X | AP144971 | TX | |
| Family Nurse Practitioner | 363LF0000X | 95003961 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95003961 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP60962415 | WA | |
| Family Nurse Practitioner | 363LF0000X | 346317 | NY | |
| Family Nurse Practitioner | 363LF0000X | 208430 | LA | |
| Family Nurse Practitioner | 363LF0000X | 12.15.209 | CT | |
| Family Nurse Practitioner | 363LF0000X | 903409 | MS | |
| Family Nurse Practitioner | 363LF0000X | 4704425529 | MI | |
| Family Nurse Practitioner | 363LF0000X | 083925-23 | NH | |
| Family Nurse Practitioner | 363LF0000X | 201908637 | OR |
Addresses
Primary practice location
475 S State College Blvd
Brea, CA 92821-5726
Mailing address
7755 Center Ave
Ste 630
Huntington Beach, CA 92647-9152
Phone (657) 400-5180
Other practice location 1
9330 Washington Blvd
Pico Rivera, CA 90660-3838
Phone (562) 205-4200
Other practice location 2
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone (716) 995-4450
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250916004404 | CA | Order and Referring Only - Nurse Practitioner | 1355614645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5379302051 | KS | MD | Family Nurse Practitioner |
| 208430 | LA | MD | Family Nurse Practitioner |
| 4704425529 | MI | MD | Family Nurse Practitioner |
| 903409 | MS | MD | Family Nurse Practitioner |
| 083925-23 | NH | MD | Family Nurse Practitioner |
| 346317 | NY | MD | Family Nurse Practitioner |
| 026482 | OH | MD | Family Nurse Practitioner |
| 201908637 | OR | MD | Family Nurse Practitioner |
| APRN02522 | RI | MD | Family Nurse Practitioner |
| AP144971 | TX | MD | Family Nurse Practitioner |
| AP60962415 | WA | MD | Family Nurse Practitioner |
| 95003961 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- lperez@landmarkhealth-direct.org
Organizations & group practices 1
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": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1790147999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7755 CENTER AVE",
"address_2": "STE 630",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479152",
"telephone_number": "657-400-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 S STATE COLLEGE BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "928215726",
"telephone_number": "877-847-3984",
"fax_number": "888-383-5708"
}
],
"practiceLocations": [
{
"address_1": "9330 Washington Blvd",
"address_purpose": "LOCATION",
"city": "Pico Rivera",
"state": "CA",
"postal_code": "906603838",
"country_code": "US",
"telephone_number": "562-205-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Seneca St Ste 646C",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142101351",
"country_code": "US",
"telephone_number": "716-995-4450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "LORRAINE",
"credential": "RN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013931",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN02522",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "026482",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5379302051",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144971",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003961",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95003961",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60962415",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "346317",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "208430",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "12.15.209",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "903409",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704425529",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "083925-23",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201908637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.