KEVIN BENJAMIN PEREZ (NPI# 1184132615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184132615 |
| Entity Type | Individual |
| Full Name | KEVIN BENJAMIN PEREZ |
| Practice Address |
800 N State College Blvd Fullerton CA 92831-3599 |
| Practice Telephone | 6572788444 |
| Mailing Telephone | 6572788444 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2020-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588207682 | Kevin Manuel Perez | Nurse Anesthetist, Certified Registered | 9008 New Orleans Ct, Orlando, FL 32818-9050 | 2019-10-21 |
| 1851940381 | Kevin Perez | Orthopaedic Surgery | 8940 N Kendall Dr, Miami, FL 33176-2148 | 2019-09-07 |
| 1245702406 | Kevin Perez | Social Worker | 40849 Fremont Blvd, Fremont, CA 94538-4306 | 2018-12-27 |
| 1467982280 | Kevin Emilio Perez | Rehabilitation Practitioner | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2017-06-14 |
| 1831446616 | Kevin Perez | Massage Therapist | 111 Sherwood Dr, Royal Palm Beach, FL 33411-8210 | 2012-08-10 |
| 1346250693 | Kevin A Perez | Internal Medicine | 4778 Liberty Ave, 3rd Floor, Pittsburgh, PA 15224-2040 | 2006-08-09 |
| Street Address |
800 N STATE COLLEGE BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641013 | Tricia Mikiko Kasamatsu | Specialist/Technologist | 800 N State College Blvd, Attn: Kinesiology, Fullerton, CA 92831-3547 | 2006-06-26 |
| 1720551237 | Merrisa Carlson | Nurse Practitioner | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2019-01-08 |
| 1538639919 | Anna Marie Peery | Midwife | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-11-28 |
| 1558860221 | Samuel Arnold | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-02-07 |
| 1013415967 | Andee Monterone | Student in an Organized Health Care Education/Training Program | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-25 |
| 1487161147 | Holly Vigario | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-03 |
| 1992211403 | Juan Carlos Madrigal | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-12-19 |
| 1134655178 | Elena Soler | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-11 |
| 1982130415 | Jaime Potter | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-03 |
| 1265968721 | Kyle Anderson Burnett | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 93834-9001 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441880 | James R Ruby | Counselor | 819 W Fern Dr, Fullerton, CA 92832-1014 | 2020-06-09 |
| 1891315313 | Michelle Y Kim | Counselor | 2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135 | 2020-04-24 |
| 1194364968 | Antonio Simental | Counselor | 4014 W Valencia Dr, Fullerton, CA 92833-2881 | 2019-12-27 |
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1073009478 | Melissa Renae Ruvalcaba | Counselor | 801 E. Champman Ave, # 203, Fullerton, CA 92831-3839 | 2018-07-09 |
| 1407370547 | Ashleigh Marie Sorenson | Counselor | 1235 N Harbor Blvd Ste 290, Fullerton, CA 92832-1353 | 2017-07-31 |
| 1922531805 | Insia Hirawala | Counselor | 2913 Barrington Ct, Fullerton, CA 92831-2208 | 2017-04-06 |
| 1588061345 | Atlas Psychological Family Counseling & Wellness Services, Inc. | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2014-11-21 |
| 1477804227 | Amanda Lee Carrillo | Counselor | 3621 W Ash Ave, Fullerton, CA 92833-3107 | 2012-09-19 |
| 1023366424 | Grace Jeanee Chang | Counselor | 2270 Pickwick Pl, Fullerton, CA 92833-4804 | 2012-08-16 |
| Find all providers in FULLERTON | ||||
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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.