MR. RAFAEL PEREZ JR. (NPI# 1548232697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548232697 |
| Entity Type | Individual |
| Full Name | MR. RAFAEL PEREZ JR. |
| Credential | PA-C |
| Practice Address |
2446 Trident Way San Diego CA 92155-5494 |
| Mailing Address |
3950 Leland St San Diego CA 92106-1043 |
| Practice Telephone | 6194370777 |
| Mailing Telephone | 6188950888 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1027620 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233213 | Rafael Martin Perez | Counselor | 5955 Hooper Ave Apt A, Los Angeles, CA 90001-1292 | 2019-09-06 |
| 1952558165 | Rafael A Perez | Pathology | 14225 Newbrook Drive, Quest Diagnostics Nichols Institute, Chantilly, VA 20151 | 2008-08-20 |
| 1023175783 | Rafael A Perez | Pediatrics | 48 Calle Rafael Lasa, Aguas Buenas, PR 00703-3321 | 2007-01-02 |
| 1508969437 | Rafael E. Perez | General Practice | Cond Mansiones Los Caobos Apt. 8e, Ave. San Patricio, Guaynabo, PR 00968 | 2006-09-06 |
| 1659364644 | Rafael Perez | Internal Medicine | Hospital San Juan, Centro Medico, San Juan, PR 00936 | 2005-08-25 |
| 1396304127 | Rafael Eduardo Perez | Physical Therapy Assistant | 6061 Palmetto Cir N, Boca Raton, FL 33433-3602 | 2019-06-05 |
| 1083129928 | Rafael Perez | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2017-12-13 |
| 1417376153 | Rafael Enrique Perez | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2014-04-09 |
| 1568889293 | Rafael Perez | Social Worker | 304 Wall St, Kingston, NY 12401-3850 | 2014-03-19 |
| 1053683540 | Rafael Perez | Acupuncturist | 28 W Flagler St, Suite 550, Miami, FL 33130-1806 | 2012-01-31 |
| Street Address |
2446 TRIDENT WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92155-5494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235114034 | Melissa Dee Hiller | Psychologist | 2446 Trident Way, San Diego, CA 92155-5494 | 2005-12-14 |
| 1619372422 | Natashia Libby | Military Health Care Provider | 2446 Trident Way, San Diego, CA 92155-5494 | 2014-10-23 |
| 1417197591 | Naval Medical Center San Diego | Clinic/Center | 2446 Trident Way, San Diego, CA 92155-5494 | 2009-03-02 |
| 1427029370 | Michael David Rosenthal | Specialist | 2446 Trident Way, San Diego, CA 92155-5494 | 2006-01-30 |
| 1598736449 | Michael Tad Garritson | Military Health Care Provider | 2446 Trident Way, Medical Clinic, San Diego, CA 92155-5494 | 2006-01-30 |
| 1790756641 | Edward J Biggs | Military Health Care Provider | 2446 Trident Way, Medical Department Nswc, San Diego, CA 92155-5449 | 2006-01-30 |
| 1497726525 | Mario Oswaldo Martin | Military Health Care Provider | 2446 Trident Way, San Diego, CA 92155-5494 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134454770 | Carrie Lynn Decker | Military Health Care Provider | Eod Exp Support Unit One, 3502 Attu Rd Bldg 326 San Diego Ca, Apo, AA 92155 | 2009-10-15 |
| 1578779559 | Joe Leonard Bonvie | Psychologist | Naval Special Warfare Command, Medical Dept Code 04, 2000 Trident Way, San Diego, CA 92155 | 2007-05-15 |
| 1003840653 | Robert David Gerardi | Military Health Care Provider | 2841 Rendova Road, San Diego, CA 92155 | 2006-07-10 |
| 1346597234 | Jermy Joe Brower | Military Health Care Provider | Seal Team One 2534 Trident Way Bldg 614, San Diego, CA 92155-0001 | 2012-08-09 |
| 1720376684 | Brittany A Hout | Physician Assistant | Anaconda Rd Bldg 262, San Diego, CA 92155-0001 | 2011-07-13 |
| 1639278682 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | Bouganville Rd, Bldg 506, San Diego, CA 92155-0001 | 2006-09-22 |
| 1902393176 | Benjamin Alexander Sebreros | Student in an Organized Health Care Education/Training Program | 2446 Trident Way Bldg 637, San Diego, CA 92155-0001 | 2018-04-13 |
| 1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
| 1366592248 | Robert Ray Lowe Jr. | Emergency Medicine | 3400 Tarawa Rd, San Diego, CA 92155-5002 | 2007-01-11 |
| 1801868633 | Michael Griffin Swanson | Family Medicine | Naval Special Warfare Group Three, 3400 Tarawa Road Bldg.19, San Diego, CA 92155-5002 | 2006-02-06 |
| Find all providers in zip 92155 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477932978 | Mobile Wound Care Physician Assistant Corporation | Physician Assistant | 2028 31st St, San Diego, CA 92104-5632 | 2015-05-29 |
| 1437454220 | Peter Deane Houston | Physician Assistant | 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 | 2011-01-25 |
| 1720288087 | Laura Ruth Duffy | Physician Assistant | 1643 6th Ave, #204, San Diego, CA 92101-2757 | 2007-07-24 |
| 1861539348 | Norman K Moser | Physician Assistant | 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 | 2007-01-31 |
| 1538214515 | Shaun D Young | Physician Assistant | 8901 Activity Road, San Diego, CA 92126 | 2007-01-23 |
| 1174612170 | Jonathan Wu | Physician Assistant | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2006-10-11 |
| 1982798112 | Virginia Ann Floco | Physician Assistant | 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 | 2006-10-03 |
| 1366464471 | Colleen Gustafson Espenschied | Physician Assistant | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
| 1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
| 1619974623 | Kimberlee J Knox | Physician Assistant | 3307 4th Ave, San Diego, CA 92103-5703 | 2005-07-05 |
| Find all providers in SAN DIEGO | ||||
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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.