MR. RODOLFO PEREZ JR. (NPI# 1134557648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134557648 |
| Entity Type | Individual |
| Full Name | MR. RODOLFO PEREZ JR. |
| Credential | FNP |
| Practice Address |
1196 North Park Ave Pomona CA 91768 |
| Practice Telephone | 9096234050 |
| Practice Fax Number | 9096205259 |
| Mailing Telephone | 9096234050 |
| Mailing Fax Number | 9096205259 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23311 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953614 | Rodolfo Perez Sr. | Nurse Practitioner | 11015 Sw 243rd St, Homestead, FL 33032-5149 | 2017-10-13 |
| 1316264203 | Rodolfo Perez Jr. | Anesthesiology | 6431 Fannin St, Houston, TX 77030-1501 | 2010-04-30 |
| 1154359479 | Rodolfo Alfredo Perez | Specialist | 7150 W 20th Ave, Suite# 304, Hialeah, FL 33016 | 2006-06-28 |
| 1548242274 | Rodolfo Nestor Perez | Specialist | 1519 E 6th St, Weslaco, TX 78596-6605 | 2005-11-17 |
| 1215923271 | Rodolfo Perez | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2005-09-26 |
| Street Address |
1196 NORTH PARK AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| 1841531258 | Julie Diana Figueroa | Marriage & Family Therapist | 2049 Yorba Dr, Pomona, CA 91768 | 2013-03-10 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605957 | Chan T Luc | Nurse Practitioner | 1818 N Orange Grove Ave Ste 200, Pomona, CA 91767-3028 | 2018-10-19 |
| 1144704842 | Megan Schmidt | Nurse Practitioner | 4 Medical Park Dr Ste C, Pomona, NY 10970-3541 | 2018-09-18 |
| 1194185413 | Marianne Carlota | Nurse Practitioner | 1818 N Orange Grove Ave Ste 305, Pomona, CA 91767-3028 | 2016-02-29 |
| 1619334778 | Mariefaye Ramos | Nurse Practitioner | 255 E Bonita Ave Ste 100, Pomona, CA 91767 | 2016-01-20 |
| 1265806079 | Michael Sean Magill | Nurse Practitioner | 242 Roosevelt Ave, Pomona, CA 91767-3136 | 2015-11-17 |
| 1518015155 | Susan Bauerle | Nurse Practitioner | 350 Vinton Ave Ste 101, Pomona, CA 91767-3000 | 2007-01-08 |
| 1801875844 | Deborah Occhiogrosso | Nurse Practitioner | 26 Firemens Memorial Dr, Suite 215, Pomona, NY 10970-3553 | 2006-01-10 |
| 1700882586 | Cindy M. Frasure | Nurse Practitioner | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2005-06-25 |
| 1679180863 | Jannelyn May Panganiban | Nurse Practitioner | 1450 E Holt Ave, Pomona, CA 91767-5822 | 2020-09-30 |
| 1760097877 | Sydney Hendricks LLC | Nurse Practitioner | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-09-15 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.