Active NPI
Octavio Andres Echeverry
- Driver
- Perris, CA
National Provider Identifier
1992127377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 3980 Paseo del Mar Dr
Perris, CA 92571-7483 - Phone
- (909) 994-4955
- Fax
- (951) 940-6021
- NPI assigned
- Jan 20, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
3980 Paseo del Mar Dr
Perris, CA 92571-7483
Mailing address
3980 Paseo del Mar Dr
Perris, CA 92571-7483
Phone (909) 994-4955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1992127377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 PASEO DEL MAR DR",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717483",
"telephone_number": "909-994-4955",
"fax_number": "951-940-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 PASEO DEL MAR DR",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717483",
"telephone_number": "909-994-4955",
"fax_number": "951-940-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRY",
"first_name": "OCTAVIO",
"middle_name": "ANDRES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-20",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.