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MYRZA R PEREZ M.D.
NPI 1912919689
Allergy & Immunology - Allergy in Roseville, CA

Active since August 12, 2006PECOS Enrolled
1451 SECRET RAVINE PKWY, SUITE 150, ROSEVILLE, CA 95661(916) 580-2412(916) 580-2413 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Myrza R Perez M.d. NPPES

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

MYRZA R PEREZ M.D. (NPI 1912919689) is an individual allergy provider in Roseville, California, licensed in California (A96172) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912919689
Entity TypeIndividualFemale
Primary Taxonomy207KA0200X
Provider Legal NameMYRZA R PEREZCredential: M.D.
Location Address1451 SECRET RAVINE PKWY, SUITE 150Roseville, CA 95661-6052
Mailing Address1451 Secret Ravine Pkwy, Suite 150Roseville, CA 95661-6052 · (916) 580-2412 · Fax (916) 580-2413
Phone(916) 580-2412
Fax(916) 580-2413
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateDecember 15, 2021
✔ NPI 1912919689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in CA · A96172
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
1451 SECRET RAVINE PKWY, Roseville, CA 95661
Open in Google Maps ↗

Other Identifiers 1

OtherA96172CA · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myrza R Perez 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 Reassignments

2

Medicare enrollment records show Myrza Perez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Allergy And Respiratory Disease Center A Med Corp
19 mi
Allergy
5609 J STREET, SUITE C
Sacramento, CA 95819
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1629191267 (916) 453-8696
Permanente Medical Group Inc
52 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 2

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

DONNA R. CHIPPS P.N.P.
Nurse Practitioner (Pediatrics)
1451 SECRET RAVINE PKWY, SUITE 150
ROSEVILLE, CA 95661
Placer County (916) 580-2412
ELAINE THERESE VAN GUNDY M.D., F.A.A.P.
Specialist
1451 SECRET RAVINE PKWY, SUITE 150
ROSEVILLE, CA 95661
Placer County (916) 580-2420

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 Myrza Perez's NPI number?

The NPI number for Myrza Perez is 1912919689. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Myrza Perez located?

Myrza Perez practices at 1451 Secret Ravine Pkwy Suite 150, Roseville, CA 95661. The listed phone number is (916) 580-2412.

What is Myrza Perez's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Myrza Perez enrolled in Medicare?

Yes. Myrza Perez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Myrza Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myrza Perez reassigns Medicare benefits to 2 organizations: Capital Allergy And Respiratory Disease Center A Med Corp (Sacramento, CA) and Permanente Medical Group Inc (Stockton, 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 Myrza 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 Myrza Perez was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.