Martin Perez, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18155 Issued in CA

Practice address

1500 E Duarte Rd
Duarte, CA 91010

Phone

(626) 359-8111

NPI assigned

Nov 13, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• California Cancer Specialists Medical Group

  • Clinical Medical Laboratory
  • Pasadena, CA
  • NPI 1417087933
  NPD (past)
• California Cancer Specialists Medical Group Inc

  • Anesthesiology Physician
  • Duarte, CA
  • NPI 1912006636
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851462469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5059",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91017",
            "telephone_number": "626-775-3200",
            "fax_number": "626-775-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DUARTE RD",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "91010",
            "telephone_number": "626-359-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path MD Inc
• Anna B Pawlowska, MD
• Isaac Paz, MD
• Rebecca Janice Peng
• Dianna Perez
• Thomas Jay Perez, OTA
• Cielo Perrenoud, PT
• David Leonard Perry Jr.
• Jeanette Marie Petermann, N.P.
• Jerick Richard Peterson, PTA

• Psychologist in Duarte, CA
• Providers in Duarte, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.