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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK PERLOV M.D.
NPI 1447746169
Psychiatry & Neurology - Child & Adolescent Psychiatry in La Jolla, CA

Active since July 05, 2018PECOS Enrolled
8950 VILLA LA JOLLA DR STE C121, LA JOLLA, CA 92037(855) 501-1004 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Apr 29, 2026, Jul 5, 2018 (3 updates tracked since 2018).

About Dr. Jack Perlov M.d. NPPES

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

DR. JACK PERLOV M.D. (NPI 1447746169) is an individual child & adolescent psychiatry provider in La Jolla, California, licensed in California (G150878) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447746169
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JACK PERLOVCredential: M.D.
Location Address8950 VILLA LA JOLLA DR STE C121La Jolla, CA 92037-1707
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (855) 501-1004
Phone(855) 501-1004
Sole ProprietorYes
Enumeration DateJuly 5, 2018
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1447746169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · G150878
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License G150878 (CA)
8950 VILLA LA JOLLA DR STE C121, La Jolla, CA 92037
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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)

Dr. Jack Perlov 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 Reassignment

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

Mark David Levine, MD Fresno
307 mi
Psychiatry
5100 N 6TH ST, STE 135
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
NPI 1124387097 (559) 490-2067

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.

MR. ISAAC JOSUE SALAS
Marriage & Family Therapist
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (858) 768-0028
MARILYN LISA ORDORICA
Social Worker (Clinical)
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (877) 876-3783
CASSIE LYNN SIGLER AMFT, APPC
Marriage & Family Therapist
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (855) 501-1004
SUSAN REEDER LCSW
Social Worker (Clinical)
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (858) 768-0028
MARIAH MURRAY
Marriage & Family Therapist
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (858) 768-0028
DR. MARIEKE OVERMAN PH.D.
Psychologist
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (858) 768-0028
ACACIA PSYCHOLOGICAL CORPORATION
Psychologist
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (888) 699-4873
CAROLINE HELEN BENDER LMFT
Marriage & Family Therapist
8950 VILLA LA JOLLA DR STE C121
LA JOLLA, CA 92037
San Diego County (855) 501-1004

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 Jack Perlov's NPI number?

The NPI number for Jack Perlov is 1447746169. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Jack Perlov located?

Jack Perlov practices at 8950 Villa La Jolla Dr Ste C121, La Jolla, CA 92037. The listed phone number is (855) 501-1004.

What is Jack Perlov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jack Perlov enrolled in Medicare?

Yes. Jack Perlov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Perlov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Perlov reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, 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 Jack Perlov'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 Jack Perlov was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.