Individual provider Active NPI

Jules M Perley, M.D.

  • Urology Physician
  • Lakewood, CA
National Provider Identifier
1801865381
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G22223 Issued in CA
Practice address
3650 South St
Suite 408
Lakewood, CA 90712-1502
Phone
(562) 630-0423
Fax
(562) 630-0660
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G22223 CA Primary

Addresses

Primary practice location

3650 South St
Suite 408
Lakewood, CA 90712-1502

Mailing address

3650 South St
Suite 408
Lakewood, CA 90712-1502
Phone (562) 630-0423

Other identifiers 1

IdentifierTypeStateIssuer
G22223OtherCACALIFORNIA MEDICAL LICENS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000413 CA Practitioner - Urology 4183705551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tufts University School of Medicine, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Long Beach Genito-Urinary Med GRPGroup PAC ID 0143258723, 4 clinicians

Practice addresses (Care Compare)

3650 S St
Suite 408
Lakewood, CA 90712-1510
Phone (562) 630-0423

Hospital & facility affiliations

  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G22223CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Long Beach Genito-Urinary Med GRP Urology CurrentSince Jan 1, 1973 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
CHLB, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3650 South St
Ste 408
Lakewood, CA 90712
Phone (562) 630-0423

1045 Atlantic Ave
Ste 915
Long Beach, CA 90813
Phone (562) 596-1667

10941 Bloomfield St
Ste A
Los Alamitos, CA 90720
Phone (562) 596-1667

433 N 4th St
Ste 205A
Montebello, CA 90640
Phone (323) 208-0946

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1801865381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "SUITE 408",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-630-0423",
            "fax_number": "562-630-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "SUITE 408",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-630-0423",
            "fax_number": "562-630-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLEY",
        "first_name": "JULES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G22223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "G22223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.