Harry Dean Perry II

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

16940 Highway 14 Ste C-J
Mojave, CA 93501-1238

Phone

(661) 824-5020

NPI assigned

Oct 9, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Clarvida

  • Day Training/Habilitation Specialist
  • Mojave, CA
  • NPI 1134073679
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1972078749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16940 HIGHWAY 14",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16940 HIGHWAY 14 STE C-J",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "661-824-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HARRY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nissen Chiropractic a P C
• Gerald Leray Nissen, D.C.
• Nolia Medical Services PC
• Christina Machelle Patz, MA MFT
• Karina M Perez, PEER SUPPORT
• Deric Thomas Placker, MA
• Colette Blessing Plascencia
• Gilberto Ramirez
• Kelsey Redou, PEER SUPPORT SPECIAL
• Rhema Rehabilitation Centers

• Community Health Worker in Mojave, CA
• Providers in Mojave, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.