Active NPI
David J Perez-Ortiz, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Palm Desert, CA
National Provider Identifier
1962716274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A125289
- Practice address
- 73010 El Paseo Ste 2a
Palm Desert, CA 92260-4281 - Phone
- (760) 548-3400
- Fax
- (760) 610-1702
- NPI assigned
- Jul 28, 2010
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A125289 | CA | Primary |
Addresses
Primary practice location
73010 El Paseo Ste 2a
Palm Desert, CA 92260-4281
Mailing address
73010 El Paseo Ste 2a
Palm Desert, CA 92260-4281
Phone (760) 548-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 27, 2018 through Nov 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1962716274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73010 EL PASEO STE 2A",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604281",
"telephone_number": "760-548-3400",
"fax_number": "760-610-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73010 EL PASEO STE 2A",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604281",
"telephone_number": "760-548-3400",
"fax_number": "760-610-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-ORTIZ",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A125289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.