Active NPI
Cesar Perez Olmos, DDS
- General Practice Dentistry
- Orange, CA
National Provider Identifier
1912505538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105701
- Practice address
- 765 N Tustin St
Orange, CA 92867-7128 - Phone
- (805) 985-6966
- NPI assigned
- Oct 15, 2020
- Last updated
- May 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105701 | CA | Primary |
Addresses
Primary practice location
765 N Tustin St
Orange, CA 92867-7128
Mailing address
765 N Tustin St
Orange, CA 92867-7128
Other names 1
- Cesar Perez
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 |
|---|---|---|---|
| 105701 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cesar Perez Olmos, D.D.S, Inc | Current | Accepting new patients |
Locations
765 N Tustin St
Orange, CA 92867
Phone (714) 369-4247
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1912505538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677128",
"telephone_number": "805-985-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMOS",
"first_name": "CESAR",
"middle_name": "PEREZ",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-15",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CESAR",
"last_name": "PEREZ",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.