CHARLIE R PEREZ PMHNP
NPI 1497584239
Nurse Practitioner - Psychiatric/Mental Health in Coronado, CA
About Charlie R Perez Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE R PEREZ PMHNP (NPI 1497584239) is an individual psychiatric/mental health provider in Coronado, California, licensed in California (95031274) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlie R Perez Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Charlie Perez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coronado, CA 92118
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
National City, CA 91950
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
National City, CA 91950
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Pacific Health Systems LP
- 18 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORONADO, CA 92118
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 Charlie Perez's NPI number?
The NPI number for Charlie Perez is 1497584239. It was assigned to this individual provider in the NPPES registry on July 30, 2024.
Where is Charlie Perez located?
Charlie Perez practices at 158 C Ave, Coronado, CA 92118. The listed phone number is (619) 435-5400.
What is Charlie Perez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Charlie Perez enrolled in Medicare?
Yes. Charlie Perez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Charlie Perez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Perez reassigns Medicare benefits to 3 organizations: Crownview Medical Group, Inc (Coronado, CA), Advanced Tms Clinic Inc (National City, CA) and Pacific Health Systems, L.P. (National City, 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 Charlie 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 Charlie Perez was last updated on November 13, 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.
# Charlie R Perez, PMHNP · NPI 1497584239
Psychiatric/Mental Health physician in Coronado, California. Individual provider, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1497584239 (Entity type: Individual)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95031274 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 158 C AVE, Coronado, CA 92118-1420
- **Phone:** (619) 435-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Crownview Medical Group, Inc (NPI 1598928798, Coronado, CA); Advanced Tms Clinic Inc (NPI 1386104263, National City, CA); Pacific Health Systems, L.P. (NPI 1669486429, National City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497584239) · Data from the CMS NPPES public registry.