Active NPI
Adriana Sofia Perilla, M.D.
- Neurology Physician
- El Cajon, CA
National Provider Identifier
1871911552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A152822
- Practice address
- 533 Willet St
El Cajon, CA 92020-3837 - Phone
- (951) 852-4104
- Fax
- (952) 209-6735
- NPI assigned
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 1871911552 | IL | |
| Neurology Physician | 2084N0400X | A152822 | CA | Primary |
Addresses
Primary practice location
533 Willet St
El Cajon, CA 92020-3837
Mailing address
533 Willet St
El Cajon, CA 92020-3837
Phone (951) 852-4104
Other practice location 1
2160 S 1st Ave
Loyola Outpatient Center, 4300
Maywood, IL 60153-3328
Phone (708) 216-6006
Other practice location 2
425 E Colorado St
Glendale, CA 91205-5117
Phone (847) 564-8500 ext. 6180
Other practice location 3
127 S San Vicente Blvd # A-6600
Los Angeles, CA 90048
Phone (310) 423-6472
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152822 | CA | MD | Neurology Physician |
| 1871911552 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1528488897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1871911552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 WILLET ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203837",
"telephone_number": "951-852-4104",
"fax_number": "952-209-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 WILLET ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203837",
"telephone_number": "951-852-4104",
"fax_number": "952-209-6735"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_2": "Loyola Outpatient Center, 4300",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-6006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 E Colorado St",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912055117",
"country_code": "US",
"telephone_number": "847-564-8500 x6180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 S San Vicente Blvd # A-6600",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90048",
"country_code": "US",
"telephone_number": "310-423-6472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERILLA",
"first_name": "ADRIANA SOFIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "1871911552",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A152822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.