Active NPI
Leandro Perez Jr.
- Addiction (Substance Use Disorder) Counselor
- Pomona, CA
National Provider Identifier
1902460868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C139530723
- Practice address
- 2180 Valley Blvd
Pomona, CA 91768-3325 - Phone
- (909) 865-2336
- Fax
- (909) 865-1831
- NPI assigned
- Apr 25, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C139530723 | CA | Primary |
Addresses
Primary practice location
2180 Valley Blvd
Pomona, CA 91768-3325
Mailing address
2180 Valley Blvd
Pomona, CA 91768-3325
Phone (909) 554-9457
Other names 1
- Mr. Leandro Perez Jr.
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 |
|---|---|---|---|
| C139530723 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services Inc. | Past | Accepting new patients | |
| American Recovery Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Pomona, CA
- NPI 1467799759
-
- Substance Abuse Rehabilitation Facility
- Pomona, CA
- NPI 1932230505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1902460868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 VALLEY BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917683325",
"telephone_number": "909-554-9457",
"fax_number": "909-865-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 VALLEY BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917683325",
"telephone_number": "909-865-2336",
"fax_number": "909-865-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LEANDRO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-25",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C139530723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEANDRO",
"last_name": "PEREZ",
"prefix": "MR.",
"suffix": "JR.",
"credential": "CERTIFIED C139530723",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.