Sandra L Perez MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G62676 Issued in CA

Legal business name

SANDRA L PEREZ MD

Practice address

502 Euclid Ave Ste 202
National City, CA 91950-2985

Phone

(619) 267-1022

Fax

(619) 267-5680

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Juan Gallegos

Title

Practice Administrator

Phone

(619) 267-1022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Perez Mc Craw Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Joaquin Di Franco, M.D.

  • Pediatrics Physician
  • National City, CA
  • NPI 1841343548
  NPD (past)
• Sandra Lynn Perez, M.D.

  • Pediatrics Physician
  • National City, CA
  • NPI 1073674370
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1972954063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 202",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502985",
            "telephone_number": "619-267-1022",
            "fax_number": "619-267-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 202",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502985",
            "telephone_number": "619-267-1022",
            "fax_number": "619-267-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L PEREZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "619-267-1022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G62676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F91385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra Perez Mc Craw",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• San Diego Workforce Innovation High School
• Shelby Sanchez, PT,DPT
• Karmen Alice Sandoval Saucedo
• Mayra Alexandra Sandoval
• Scott Sandowski
• Maria Theresa Panlilio Sanicolas, D.P.M.
• Elida Santana, NURSE PRACTITIONER
• Regina M Santistevan
• Jeremy C Santos, PTA
• Raoul Hidalgo Santos, DDS

• Pediatrics Physician in National City, CA
• Providers in National City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.