Perez Medical Group Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PEREZ MEDICAL GROUP INC

Practice address

15115 Amar Rd
La Puente, CA 91744-1914

Phone

(626) 918-4700

Fax

(626) 918-1170

NPI assigned

Dec 11, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Bianca Leitel-Zamorano

Title

Corporate Secretary

Phone

(626) 918-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Antonio Zamorano, D.O.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1043482060
  Medicare reassignment NPD
• Veronica Castillo, PA

  • Physician Assistant
  • La Puente, CA
  • NPI 1578737995
  NPD
• Raquel Veronica Michel, NP

  • Family Nurse Practitioner
  • La Puente, CA
  • NPI 1114603230

  Single Specialty

  NPD
• Ronald Christian Guevara Rebueno, FNP

  • Family Nurse Practitioner
  • La Puente, CA
  • NPI 1104704360
  NPD
• Andrew Kevin Sajo, P.A

  • Physician Assistant
  • La Puente, CA
  • NPI 1154366920
  NPD (past)

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1891063442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441914",
            "telephone_number": "626-918-4700",
            "fax_number": "626-918-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441914",
            "telephone_number": "626-918-4700",
            "fax_number": "626-918-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "LEITEL-ZAMORANO",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "626-918-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891063442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathway Medical Supply
• Teresa Patron
• Paz Casanova Dental Corporation
• Irene Monique Peregrina
• Rhoderick Pereyra
• Joseph Perez-Conde
• Kassaundra Mae Perez
• Nicholas Perez
• Salvador Perez, PA-C
• Callandra Phan, DMD

• Primary Care Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.