Nicholas Jesus Perez | San Diego, CA • PECOS Search

Nicholas Jesus Perez

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

2351 Cardinal Lane, Annex B, San Diego, CA 92123

(858) 573-2227 (619) 420-3620

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Jesus Perez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1922428622
Provider Type
Individual
Full Name
Perez, Nicholas Jesus
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/21/2014
Last Updated
10/4/2022

Contact Information

Practice Location

2351 Cardinal Lane, Annex B, San Diego, CA 92123

(858) 496-2113

Mailing Location

430 F St, Chula Vista, CA 91910-3711

(619) 420-8722

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A148494 California