MARIO JR. PEREZ (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1962630194

MARIO JR. PEREZ (M.D.) is a healthcare provider. based in Woodland hills, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. A115169 (CA). The NPI Number for MARIO JR. PEREZ (M.D.) is 1962630194

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARIO JR. PEREZ (M.D.)
NPI
1962630194
Phone
Not provided
Address
5601 DE SOTO AVE
Enumeration Date
25 June 2009
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9093942526
Graduation Year
2009 (17 years ago)
PAC ID
7618106279
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20140131001466
Address ID
CA917732340SA1255XHWYX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for MARIO JR. PEREZ (M.D.)

  • Kaiser Permanente Woodland Hills Medical Center, 5601, De Soto Avenue, Warner Center, Los Angeles, Los Angeles County, California, 91365, United States

    DEPT OF PHYSICAL MEDICINE

    WOODLAND HILLS, CA 913676701

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$87
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140131001466IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91367)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How is MARIO JR. PEREZ (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MARIO JR. PEREZ (M.D.) with NPI 1962630194.
Can I rely on MARIO JR. PEREZ (M.D.) being an active provider?
As of the registry snapshot, MARIO JR. PEREZ (M.D.) is marked active.
What taxonomy line describes MARIO JR. PEREZ (M.D.)?
For research purposes, treat MARIO JR. PEREZ (M.D.) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MARIO JR. PEREZ (M.D.) list a practice location?
Patients near Woodland Hills, California may find MARIO JR. PEREZ (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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