Active NPI
Raymond F Perez, MS, MFT
- Marriage & Family Therapist
- Brea, CA
National Provider Identifier
1871698258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF40584
- Practice address
- 1028 W Dorothy Dr
Brea, CA 92821-2015 - Phone
- (714) 480-6650
- Fax
- (714) 571-5659
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF40584 | CA | Primary |
Addresses
Primary practice location
1028 W Dorothy Dr
Brea, CA 92821-2015
Mailing address
1028 W Dorothy Dr
Brea, CA 92821-2015
Phone (714) 480-6650
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF40584 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871698258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 W DOROTHY DR",
"city": "BREA",
"state": "CA",
"postal_code": "928212015",
"telephone_number": "714-480-6650",
"fax_number": "714-571-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 W DOROTHY DR",
"city": "BREA",
"state": "CA",
"postal_code": "928212015",
"telephone_number": "714-480-6650",
"fax_number": "714-571-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RAYMOND",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MS, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF40584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.