Jorge F Perez (NPI# 1639113897, PAC ID# 8628975380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1639113897 |
| PAC ID by PECOS | 8628975380 |
| Professional Enrollment ID | I20031219000833 |
| Full Name | Jorge F Perez |
| Organization Legal Name | PALM DRIVE EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| Address |
1250 16th St Santa Monica CA 90404-1249 |
| Phone Number | 4242598402 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153503552 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050112 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| 050779 | MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1680 E 120th St, Martin Luther King Jr Community Hosptial, Los Angeles, CA 90059-3026 | 4243388144 | VEP MLK EMERGENCY MEDICAL GROUP INC |
| 1680 E 120th St, Los Angeles, CA 90059-3026 | 4243388144 | CAPITAL HOSPITALIST MEDICAL GROUP INC |
| 1250 16th St, Santa Monica, CA 90404-1249 | 4242598402 | PALM DRIVE EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| Organization Legal Name | PALM DRIVE EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Chavira | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Walid H Ghurabi | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Jeffrey P Dayton | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Brandon Paul Endo | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Clifford Tau Wang | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Peter M Galich | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Vanessa S Franco | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Heidee D Villanueva | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Eileen Y Chang | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Martin L Chenevert | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Street Address |
1250 16TH ST |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-1249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khushboo Kaushal | Internal Medicine | The Regents of The University of California | 1250 16th St, Santa Monica, CA 90404-1249 |
| Daniel M Chavira | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Tanvi A Desai | Internal Medicine | The Regents of The University of California | 1250 16th St, Suite C2304, Santa Monica, CA 90404-1249 |
| Walid H Ghurabi | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Rahul Vasavada | Internal Medicine | The Regents of The University of California | 1250 16th St, Santa Monica, CA 90404-1249 |
| Jeffrey P Dayton | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Brandon Paul Endo | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Clifford Tau Wang | Emergency Medicine | Palm Drive Emergency Physicians Medical Group Inc | 1250 16th St, Santa Monica, CA 90404-1249 |
| Jessica Raelynn Zarndt | Family Medicine | Regents of The University of California | 1250 16th St, Suite 2100, Santa Monica, CA 90404-1249 |
| Kristofer J Jones | Orthopedic Surgery | Regents of The University of California | 1250 16th St, Suite 2100, Santa Monica, CA 90404-1249 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SANTA MONICA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jorge F Perez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.