Active NPI
Julian C Perez, MD
- Sports Medicine (Family Medicine) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD00046798
- Practice address
- 9650 15TH Ave SW Ste 100
Seattle, WA 98106-2576 - Phone
- (206) 965-1000
- Fax
- (206) 965-1001
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00046798 | WA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD00046798 | WA | Primary |
Addresses
Primary practice location
9650 15TH Ave SW Ste 100
Seattle, WA 98106-2576
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone (256) 164-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056729 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14434 Ambaum Blvd SW
Suite 5
Burien, WA 98166-1438
Phone (206) 812-6140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046798 | WA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea-Mar Community Health Center | Family Medicine | Past | Accepting new patients |
Locations
14434 Ambaum Blvd SW
Ste 5
Burien, WA 98166
Phone (206) 244-9482
4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100
9650 15th Ave SW
Ste 100
Seattle, WA 98106
Phone (206) 965-1000
9650 15th Ave SW
Seattle, WA 98106
Phone (206) 965-1000
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Interoperability endpoints
- jperez450729@direct.multicare.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Des Moines, WA
- NPI 1326316142
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1952455404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 15TH AVE SW STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981062576",
"telephone_number": "206-965-1000",
"fax_number": "206-965-1001"
}
],
"practiceLocations": [
{
"address_1": "4111 Alderwood Mall Blvd",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366765",
"country_code": "US",
"telephone_number": "256-164-1004",
"fax_number": "425-616-4115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "JULIAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00046798",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WA",
"license": "MD00046798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1056729",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.