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MR. RODOLFO PEREZ JR. FNP
NPI 1134557648
Nurse Practitioner - Family in Montclair, CA

Active since October 18, 2013PECOS EnrolledAccepts Medicare Assignment
9635 MONTE VISTA AVE STE 205, MONTCLAIR, CA 91763(909) 906-3446(909) 966-4450 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Rodolfo Perez Jr. Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RODOLFO PEREZ JR. FNP (NPI 1134557648) is an individual family provider in Montclair, California, licensed in California (23311) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134557648
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RODOLFO PEREZ JR.Credential: FNP
Location Address9635 MONTE VISTA AVE STE 205Montclair, CA 91763-2235
Mailing Address9635 Monte Vista Ave Ste 205Montclair, CA 91763-2235 · (909) 906-3446 · Fax (909) 966-4450
Phone(909) 906-3446
Fax(909) 966-4450
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 18, 2013
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1134557648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 23311
9635 MONTE VISTA AVE STE 205, Montclair, CA 91763
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rodolfo Perez Jr. Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931324951
PECOS Enrollment IDI20140708001356
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier12 claims153 services$3.27 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers36 claims1,071 services$4.29 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
2 suppliers41 claims1,234 services$3.50 avg. paid by Medicare
Gastrostomy/jejunostomy tube, standard, any material, any type, each B4087
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims13 services$25.18 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
3 suppliers19 claims8,523 services$0.31 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers31 claims14,472 services$0.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RMJ MEDICAL INC.
Family Medicine
9635 MONTE VISTA AVE STE 205
MONTCLAIR, CA 91763
San Bernardino County (909) 449-9328
MARIE GALARAGA JOHNSTON FNP-BC
Nurse Practitioner (Family)
9635 MONTE VISTA AVE STE 205
MONTCLAIR, CA 91763
San Bernardino County (909) 449-9328
MOHAMMED AL-KHAYYAT M.D.
Internal Medicine
9635 MONTE VISTA AVE STE 205
MONTCLAIR, CA 91763
San Bernardino County (909) 621-0009
J & D HEALTHCARE INC
Clinic/Center (Primary Care)
9635 MONTE VISTA AVE STE 205
MONTCLAIR, CA 91763
San Bernardino County (909) 906-3446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodolfo Perez's NPI number?

The NPI number for Rodolfo Perez is 1134557648. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Where is Rodolfo Perez located?

Rodolfo Perez practices at 9635 Monte Vista Ave Ste 205, Montclair, CA 91763. The listed phone number is (909) 906-3446.

What is Rodolfo Perez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rodolfo Perez enrolled in Medicare?

Yes. Rodolfo Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rodolfo Perez was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.