Individual provider Active NPI

Lorraine Perez, RN, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brea, CA
National Provider Identifier
1790147999
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95003961 Issued in CA
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

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5379302051KSMDFamily Nurse Practitioner
208430LAMDFamily Nurse Practitioner
4704425529MIMDFamily Nurse Practitioner
903409MSMDFamily Nurse Practitioner
083925-23NHMDFamily Nurse Practitioner
346317NYMDFamily Nurse Practitioner
026482OHMDFamily Nurse Practitioner
201908637ORMDFamily Nurse Practitioner
APRN02522RIMDFamily Nurse Practitioner
AP144971TXMDFamily Nurse Practitioner
AP60962415WAMDFamily Nurse Practitioner
95003961CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.