Active NPI
Monica Perlman MD Inc.
- Primary Care Clinic/Center
- Encinitas, CA
National Provider Identifier
1962005330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MONICA PERLMAN MD INC.
- Practice address
- 477 N El Camino Real Ste A200
Encinitas, CA 92024-1350 - Phone
- (858) 900-9490
- Fax
- (858) 795-1195
- NPI assigned
- Nov 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Tabarez
- Title
- Operations Manager
- Phone
- (858) 554-1212
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
477 N El Camino Real Ste A200
Encinitas, CA 92024-1350
Mailing address
9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Phone (858) 554-1212
Other names 1
- Perlman Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2225427 | Perlman Clinic | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Monica Perlman MD Inc
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Organizations that report the same tax identification number in the National Provider Directory.
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Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1780796235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1962005330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 320",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371208",
"telephone_number": "858-554-1212",
"fax_number": "858-795-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL STE A200",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241350",
"telephone_number": "858-900-9490",
"fax_number": "858-795-1195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONICA PERLMAN MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "TABAREZ",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "858-554-1212"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Perlman Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.