Individual provider Active NPI

Julio Perez, CCC-SLP

  • Speech-Language Pathologist
  • Oxnard, CA
National Provider Identifier
1902219413
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
38426 Issued in CA
Practice address
505 Miguel LN
Oxnard, CA 93030-3786
Phone
(831) 582-8741
NPI assigned
Jun 3, 2014
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 38426 CA Primary

Addresses

Primary practice location

505 Miguel LN
Oxnard, CA 93030-3786

Mailing address

505 Miguel LN
Oxnard, CA 93030-3786
Phone (831) 582-8741

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

LicenseStateTypeSpecialty
38426CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Learn2Express Speech and Language Therapy, Inc. Single Specialty Current Accepting new patients
Learn 2 Express Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Children's Therapy Network, Inc. Past Accepting new patients
Children's Therapy Network, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1902219413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MIGUEL LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303786",
            "telephone_number": "831-582-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MIGUEL LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303786",
            "telephone_number": "831-582-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JULIO",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "38426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.