Pervaiz Channah and Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A053353 Issued in CA

Legal business name

PERVAIZ CHANNAH AND ASSOCIATES

Practice address

25109 Jefferson Ave Ste 105
Murrieta, CA 92562-8117

Phone

(951) 698-5765

Fax

(951) 698-0254

NPI assigned

Jul 16, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pervaiz Channah, M.D.

Title

Owner

Phone

(951) 698-5765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Douglas F. Carrasco M.D. Inc.

  • Primary Care Clinic/Center
  • Temecula, CA
  • NPI 1295927408

  O20080116000431

  Same enrollment

Tax ID family

Carrasco Douglas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Douglas F. Carrasco M.D. Inc.

  • Primary Care Clinic/Center
  • Temecula, CA
  • NPI 1295927408
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFDCCA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas F. Carrasco, M.D.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1861406340
  NPD

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972702231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVENUE",
            "address_2": "STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625857",
            "telephone_number": "951-698-5765",
            "fax_number": "951-698-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "951-698-5765",
            "fax_number": "951-698-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERVAIZ CHANNAH AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANNAH",
        "authorized_official_first_name": "PERVAIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-698-5765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauneen Chacon Perez, L.V.N
• Sierra Perez
• Tylin Ann Perez, CMT LMT
• Emily Kathryn Perrott, DPT
• Angela Faye Perry, M.D.
• Shawn P. Pesh, DDS, MS
• Trenton Lee Peterson, PA-C
• Robyn Petri
• Stephanie Petrick
• Candide J. Petrol, D.D.S.

• Internal Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.