DANNIE LYNN PERDOMO DO
NPI 1861997561
General Practice in San Diego, CA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
3900 FIFTH AVE STE 110, SAN DIEGO, CA 92103(858) 554-1212 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Jan 3, 2025, May 7, 2024 and 1 more (4 updates tracked since 2018).

About Dannie Lynn Perdomo Do NPPES

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

DANNIE LYNN PERDOMO DO (NPI 1861997561) is an individual general practice provider in San Diego, California, licensed in California (23109) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Lake Erie Col Of Osteo Med At Seton Hill Univ (2018).

NPPES Registry Identity

NPI1861997561
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDANNIE LYNN PERDOMOCredential: DO
Location Address3900 FIFTH AVE STE 110San Diego, CA 92103-3122
Mailing Address3900 5th Ave Ste 110San Diego, CA 92103-3122 · (858) 554-1212
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateApril 9, 20254 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1861997561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in CA · 23109✔ Licensed in VA · 0102207353
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3900 FIFTH AVE STE 110, San Diego, CA 92103

Secondary Practice Location 1

Location 16386 Alvarado Ct Ste 101San Diego, CA 92120-4906 · Phone (858) 900-9490 · Fax (858) 795-1195

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dannie Lynn Perdomo Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789066028
PECOS Enrollment IDI20240816001812
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 Dannie Perdomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
9850 GENESEE AVE STE 320
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 341 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services13 patients

Other Providers at the Same Location NPPES 12

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

Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant (Medical)
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant (Medical)
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103

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 Dannie Perdomo's NPI number?

The NPI number for Dannie Perdomo is 1861997561. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Dannie Perdomo located?

Dannie Perdomo practices at 3900 Fifth Ave Ste 110, San Diego, CA 92103. The listed phone number is (858) 554-1212.

What is Dannie Perdomo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dannie Perdomo enrolled in Medicare?

Yes. Dannie Perdomo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dannie Perdomo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dannie Perdomo reassigns Medicare benefits to Monica Perlman MD Inc. (La Jolla, 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 Dannie Perdomo'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 Dannie Perdomo was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.