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MR. JOSE L PEREZ M.D.
NPI 1336290691
General Practice in Los Angeles, CA

Active since January 15, 2007PECOS Enrolled
4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Jose L Perez M.d. NPPES

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

MR. JOSE L PEREZ M.D. (NPI 1336290691) is an individual general practice provider in Los Angeles, California, licensed in California (A74744) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336290691
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JOSE L PEREZCredential: M.D.
Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629
Mailing Address4425 S Central AveLos Angeles, CA 90011-3629 · (323) 908-4200
Phone(323) 908-4200
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1336290691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A74744
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4425 S CENTRAL AVE, Los Angeles, CA 90011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jose L Perez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Perez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Central Family Health Center
Same address
Federally Qualified Health Center (FQHC)
4425 S CENTRAL AVE
Los Angeles, CA 90011
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1396891909 (323) 908-4239
Beverly Community Clinic
4.5 mi
Federally Qualified Health Center (FQHC)
2252 BEVERLY BLVD STE 103
Los Angeles, CA 90057
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1144791500 (213) 674-7424

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$2.63 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
1 supplier12 claims365 services$4.47 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
1 supplier12 claims4,931 services$0.30 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
1 supplier12 claims5,427 services$0.27 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.66 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 20

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

LYANNE DAISY DUARTE FNP-BC
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 696-7946
RUBEN GARCIA DE ALBA PA-C
Physician Assistant
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
RACHEL OCAMPO
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
GILLIAN BIELER LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
ERIKA B YANEZ FNP-C
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MINCI SEKOU MOODY DR.
Nurse Practitioner (Psychiatric/Mental Health)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MR. JAIME BOTERO LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
COLLEEN CROSBY
Case Manager/Care Coordinator
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4290

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 Jose Perez's NPI number?

The NPI number for Jose Perez is 1336290691. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Jose Perez located?

Jose Perez practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.

What is Jose Perez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose Perez enrolled in Medicare?

Yes. Jose Perez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Perez reassigns Medicare benefits to 2 organizations: South Central Family Health Center (Los Angeles, CA) and Beverly Community Clinic (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Perez was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.