JOHN PERDOMO PSYCHOLOGIST
NPI 1245985142
Student in an Organized Health Care Education/Training Program in Ione, CA

Active since February 18, 2022
4001 CA 104 HWY, IONE, CA 95640(209) 274-4911 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Perdomo Psychologist NPPES

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

JOHN PERDOMO PSYCHOLOGIST (NPI 1245985142) is an individual student in an organized health care education/training program in Ione, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1245985142
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN PERDOMOCredential: PSYCHOLOGIST
Location Address4001 CA 104 HWYIone, CA 95640
Mailing Address12736 Cordyline WayRancho Cordova, CA 95742-6726 · (626) 922-3518
Sole ProprietorYes
Enumeration DateFebruary 18, 2022
NPPES CertifiedFebruary 5, 2022
NPI 1245985142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4001 CA 104 HWY, Ione, CA 95640

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 John Perdomo's NPI number?

The NPI number for John Perdomo is 1245985142. It was assigned to this individual provider in the NPPES registry on February 18, 2022.

Where is John Perdomo located?

John Perdomo practices at 4001 Ca 104 Hwy, Ione, CA 95640. The listed phone number is (209) 274-4911.

What is John Perdomo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Perdomo was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.