Adriana S Perez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104451 Issued in CA

Practice address

80 W Grand Blvd Ste 111
Corona, CA 92882-2059

Phone

(951) 549-1111

Fax

(951) 549-1190

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adriana S Perez DMD Inc.

  • General Practice Dentistry
  • Corona, CA
  • NPI 1427722933
  NPD Authorized official
• Julio E Caceres DDS, Inc

  • Dentist
  • Corona, CA
  • NPI 1609333673
  NPD
• Chin-Yuh Yang DDS Inc

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1790001428
  NPD (past)

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1982255725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W GRAND BLVD STE 111",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822059",
            "telephone_number": "951-549-1111",
            "fax_number": "951-549-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W GRAND BLVD STE 111",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822059",
            "telephone_number": "951-549-1111",
            "fax_number": "951-549-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 W Holt Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917683320",
            "country_code": "US",
            "telephone_number": "909-469-6262",
            "fax_number": "909-469-6263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ADRIANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "104451",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "server",
            "affiliation": "N",
            "endpointDescription": "computers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "computers",
            "address_1": "80 W Grand Blvd Ste 111",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928822059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "server",
            "affiliation": "Y",
            "endpointDescription": "computers",
            "affiliationName": "CHIN-YUH YANG DDS INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dental practice",
            "address_1": "1690 W Holt Ave Ste A",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917683320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dunindu Perera
• Guadalupe Perez Arreola
• Isela Perez Gaona
• Cynthia Perez Ochoa
• Jennifer Perez-Rangel
• Catherine Suzanne Perez
• Claudia Christina Perez
• Edgar Perez
• Eileen Florencia Perez
• Jasmin Perez

• General Practice Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.