Organization Active NPI

Jorge Perez, MD LTD

Doing business as Sierra Nevada Cancer Center

  • Specialist
  • Carson City, NV
National Provider Identifier
1871503763
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10108 Issued in NV
Legal business name
JORGE PEREZ, MD LTD
Doing business as
Sierra Nevada Cancer Center
Practice address
1460 S Curry St
Suite 100
Carson City, NV 89703-5100
Phone
(775) 883-3336
Fax
(775) 883-0877
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Dr. Jorge Perez, MD
Title
President
Phone
(775) 883-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10108 NV Primary

Addresses

Primary practice location

1460 S Curry St
Suite 100
Carson City, NV 89703-5100

Mailing address

1801 W Olympic Blvd
File 1359
Pasadena, CA 91199-1359
Phone (775) 883-3336

Other identifiers 3

IdentifierTypeStateIssuer
1871503763OtherNVNPI#
2013150MedicaidNV
G80853OtherNVMEDICARE RAILROAD

Other names 1

  • Sierra Nevada Cancer Center Doing business as

National Provider Directory

National Provider Directory

Locations

1132 Momentum Pl
Chicago, IL 60689

1460 S Curry St
Ste 100
Carson City, NV 89703
Phone (775) 450-6034

1000 N Division St
Ste 104
Carson City, NV 89703

801 E Williams Ave
#3301
Fallon, NV 89406
Phone (775) 423-3151

801 E Williams Ave
Ste 3301
Fallon, NV 89406
Phone 77542331514429

211 Aiken St
Ste B
Winnemucca, NV 89445
Phone (775) 623-3512

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1871503763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W OLYMPIC BLVD",
            "address_2": "FILE 1359",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911991359",
            "telephone_number": "775-883-3336",
            "fax_number": "775-883-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S CURRY ST",
            "address_2": "SUITE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035100",
            "telephone_number": "775-883-3336",
            "fax_number": "775-883-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE PEREZ, MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-883-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "10108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1871503763",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013150",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "G80853",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.