Active NPI
Dylia Odette Pereira Narvaez, M.D.
- Family Medicine Physician
- Moreno Valley, CA
National Provider Identifier
1962534768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A75948
- Practice address
- 14114 Business Center Dr
Suite E
Moreno Valley, CA 92553-9113 - Phone
- (951) 656-3303
- Fax
- (951) 656-3375
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A75948 | CA | Primary |
Addresses
Primary practice location
14114 Business Center Dr
Suite E
Moreno Valley, CA 92553-9113
Mailing address
77 W March LN
Ste a
Stockton, CA 95207-5724
Phone (209) 477-5552
Other names 1
- Dr. Dylia Odette Da Reitz Pereira
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160701000279 | CA | Order and Referring Only - Family Practice | 6709782584 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75948 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Past | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dpereiranarvaez24818@hpmg.direct-ci.net
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1962534768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W MARCH LN",
"address_2": "STE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075724",
"telephone_number": "209-477-5552",
"fax_number": "209-477-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR",
"address_2": "SUITE E",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-656-3303",
"fax_number": "951-656-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA NARVAEZ",
"first_name": "DYLIA",
"middle_name": "ODETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A75948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DYLIA",
"last_name": "DA REITZ PEREIRA",
"middle_name": "ODETTE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.