Active NPI
Agustin Perez
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1871365650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW134974
- Practice address
- 4600 47TH Ave Ste 111
Sacramento, CA 95824-3923 - Phone
- (916) 318-0141
- NPI assigned
- Oct 25, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Community Health Worker | 172V00000X | |||
| Adult Companion | 372600000X | |||
| Peer Specialist | 175T00000X | |||
| Clinical Social Worker | 1041C0700X | ASW134974 | CA | Primary |
Addresses
Primary practice location
4600 47TH Ave Ste 111
Sacramento, CA 95824-3923
Mailing address
4600 47TH Ave Ste 111
Sacramento, CA 95824-3923
Phone (916) 318-0141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW134974 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1871365650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 47TH AVE STE 111",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243923",
"telephone_number": "916-318-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 47TH AVE STE 111",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243923",
"telephone_number": "916-318-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "AGUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW134974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.