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: August 09, 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
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

Other Identifiers 1

OtherA96172CA · Medical License

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Pediatrics)
1451 SECRET RAVINE PKWY, SUITE 150
ROSEVILLE, CA 95661
Specialist
1451 SECRET RAVINE PKWY, SUITE 150
ROSEVILLE, CA 95661

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.

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.