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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. CLARENCE D. PERRY M.D.
NPI 1790731586
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since May 25, 2006Opted out of Medicare · through May 25, 2028
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE, MC 8201, SAN DIEGO, CA 92103(858) 966-5832(619) 543-3183 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Clarence D. Perry M.d. NPPES

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

DR. CLARENCE D. PERRY M.D. (NPI 1790731586) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (G75092) and active in the NPI registry since May 2006. He has opted out of Medicare through May 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790731586
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. CLARENCE D. PERRYCredential: M.D.
Location AddressUCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE, MC 8201San Diego, CA 92103-8201
Mailing Address3020 Childrens Way, Mc 5018San Diego, CA 92123-4223 · (858) 966-5832 · Fax (858) 966-8470
Phone(858) 966-5832
Fax(619) 543-3183
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1790731586 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 · G75092
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 G75092 (CA)
UCSD MEDICAL CENTER, San Diego, CA 92103
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Other Identifiers 1

Medicaid00G750920CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Clarence D. Perry M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 25, 2016 through May 25, 2028.

Opt-Out Effective DateMay 25, 2016
Opt-Out In Effect ThroughMay 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 16

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

DR. CHING-RONG CHENG MD
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
San Diego County (619) 543-5720
DR. CHRISTOPHER WILLIAM DANA HEICHEL M.D.
Ophthalmology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
San Diego County (858) 534-6290
DR. MARK KRITCHEVSKY MD
Psychiatry & Neurology (Neurology)
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
San Diego County (858) 657-8540
JOHN RICE KELSOE M.D.
Psychiatry & Neurology (Psychiatry)
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
San Diego County (858) 534-5345
DR. DAVID M ROTH MD
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
San Diego County (619) 543-5720
DR. RAMON A SANCHEZ MD
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
San Diego County (619) 543-5720
DR. SANDRA JEAN BROWN PH.D.
Clinical Neuropsychologist
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
San Diego County (619) 497-6659
DR. DALIA A BANKS M.D.
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
San Diego County (619) 543-5720

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 Clarence Perry's NPI number?

The NPI number for Clarence Perry is 1790731586. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Clarence Perry located?

Clarence Perry practices at Ucsd Medical Center 200 West Arbor Drive, Mc 8201, San Diego, CA 92103. The listed phone number is (858) 966-5832.

What is Clarence Perry's specialty?

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

Is Clarence Perry enrolled in Medicare?

No. Clarence Perry has opted out of Medicare through May 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Clarence Perry was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.