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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Jack Perlov was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 05, 2018PECOS Enrolled

8950 VILLA LA JOLLA DR STE C217, LA JOLLA, CA 92037(855) 501-1004 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Jul 5, 2018 (2 updates tracked since 2018).

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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 C217La Jolla, CA 92037-1712

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 UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 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 C217, La Jolla, CA 92037

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Other Providers at the Same Location NPPES 6

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

JAYDE CLARK LMFT

Marriage & Family Therapist