Active NPI
Ricardo Perez
- Transportation Broker
- Lakewood, CA
National Provider Identifier
1891624060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 030451
- Practice address
- 4399 Levelside Ave
Lakewood, CA 90712-3752 - Phone
- (562) 256-6152
- NPI assigned
- May 14, 2026
- 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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 030451 | CA | Primary |
Addresses
Primary practice location
4399 Levelside Ave
Lakewood, CA 90712-3752
Mailing address
4399 Levelside Ave
Lakewood, CA 90712-3752
Phone (562) 587-3204
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 |
|---|---|---|---|
| 030451 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care 1 Transportation | Transportation Broker | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Transportation Broker
- Lakewood, CA
- NPI 1891621041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1891624060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4399 LEVELSIDE AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907123752",
"telephone_number": "562-587-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4399 LEVELSIDE AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907123752",
"telephone_number": "562-256-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RICARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-14",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "CA",
"license": "030451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.