Active NPI
Victoria Perez
- Family Nurse Practitioner
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95006007
- Practice address
- 685 Coleman Ave Ste 20
San Jose, CA 95110-2000 - Phone
- (800) 972-5547
- NPI assigned
- Jun 7, 2017
- 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 Nurse Practitioner | 363LF0000X | NP95006007 | CA | Primary |
Addresses
Primary practice location
685 Coleman Ave Ste 20
San Jose, CA 95110-2000
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (800) 972-5547
Other practice location 1
300 Bradford St
Redwood City, CA 94063-1530
Phone (650) 599-7341
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171108000843 | CA | Practitioner - Nurse Practitioner | 4082970009 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nightingale Clinical Care PCGreater Good Health PC Inc
Practice addresses (Care Compare)
27602 Clinton Keith Rd
BLDG F
Murrieta, CA 92562-8513
Phone (909) 887-0173
300 Continental Blvd
Suite 635
El Segundo, CA 90245-5040
Phone (310) 658-3775
6090 W Ramsey St
Banning, CA 92220-3052
Phone (800) 424-6589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95006007 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Nightingale Clinical Care, PC | Current | Accepting new patients | |
| Bradley B. Hill, MD a Professional Corporation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
11161 Magnolia Ave
Riverside, CA 92505
Phone (951) 351-8090
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- vperez382855@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Vascular Surgery Physician
- Campbell, CA
- NPI 1649800731
CA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
CA
-
- Primary Care Clinic/Center
- Ammon, ID
- NPI 1033095914
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1104503168
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- Gilroy, CA
- NPI 1922093533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1962931600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "800-972-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 COLEMAN AVE STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951102000",
"telephone_number": "800-972-5547"
}
],
"practiceLocations": [
{
"address_1": "300 Bradford St",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940631530",
"country_code": "US",
"telephone_number": "650-599-7341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95006007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
- 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.