Active NPI
Matias Perez, MD
- Student in an Organized Health Care Education/Training Program
- Oakland, CA
National Provider Identifier
1861294720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1411 East 31St Street
Oakland, CA 94602 - Phone
- (510) 437-4800
- Fax
- (510) 535-7313
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1411 East 31St Street
Oakland, CA 94602
Mailing address
Calle 96 #9-69, Apartamento 501
Bogota, CUNDINAMARCA 110221
CO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1861294720",
"addresses": [
{
"country_code": "CO",
"country_name": "Colombia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CALLE 96 #9-69, APARTAMENTO 501",
"city": "BOGOTA",
"state": "CUNDINAMARCA",
"postal_code": "110221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 EAST 31ST STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94602",
"telephone_number": "510-437-4800",
"fax_number": "510-535-7313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MATIAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.