EDMUNDO J. PEREZ
NPI 1417156605
Marriage & Family Therapist in Oakland, CA

Active since July 17, 2007PECOS Enrolled
390 40TH ST, OAKLAND, CA 94609(510) 653-5040(510) 653-6475 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Edmundo J. Perez NPPES

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

EDMUNDO J. PEREZ (NPI 1417156605) is an individual marriage & family therapist in Oakland, California and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417156605
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameEDMUNDO J. PEREZ
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 653-5040 · Fax (510) 653-6475
Fax(510) 653-6475
Sole ProprietorNo
Enumeration DateJuly 17, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1417156605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
390 40TH ST, Oakland, CA 94609

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmundo J. Perez 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 Reassignment

Medicare enrollment records show Edmundo Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

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.

Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Social Worker
390 40TH ST
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Day Training/Habilitation Specialist
390 40TH ST
OAKLAND, CA 94609
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609

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 Edmundo Perez's NPI number?

The NPI number for Edmundo Perez is 1417156605. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Edmundo Perez located?

Edmundo Perez practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 653-5040.

What is Edmundo Perez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Edmundo Perez enrolled in Medicare?

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

Which organization bills Medicare for Edmundo Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmundo Perez reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Edmundo 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 Edmundo Perez was last updated on January 3, 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.