Active NPI
Kristine Sue Percy, M.D.,
- Family Medicine Physician
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G77388
- Practice address
- 539 South Brea Blvd
Brea, CA 92821 - Phone
- (714) 671-2936
- Fax
- (714) 671-2938
- NPI assigned
- Oct 3, 2006
- 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 | G77388 | CA | Primary |
Addresses
Primary practice location
539 South Brea Blvd
Brea, CA 92821
Mailing address
539 South Brea Blvd
Brea, CA 92821
Phone (714) 671-2936
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306971262 | Other | CA | GROUP NPI |
| GR0101050 | Medicaid | CA | |
| ZZZ092862 | Other | BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
539 S Brea Blvd
Brea, CA 92821-5377
Phone (714) 671-2936
Hospital & facility affiliations
- Providence St. Jude Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristine Percy MD & Lauren Stearns MD, Inc. | Family Medicine | Current | Accepting new patients |
Locations
539 S Brea Blvd
Ste 100
Brea, CA 92821
Phone (714) 671-2936
539 S Brea Blvd
Brea, CA 92821
Phone (714) 671-2936
539 S Brea Blvd
Fl 1
Brea, CA 92821
Phone (714) 671-2936
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1306971262
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1972697605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 SOUTH BREA BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-671-2936",
"fax_number": "714-671-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 SOUTH BREA BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-671-2936",
"fax_number": "714-671-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCY",
"first_name": "KRISTINE",
"middle_name": "SUE",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G77388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1306971262",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101050",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ092862",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.