SOLOMON EZEKIEL PEREZ B.A NPI 1558872739

NPI Information

NPI: 1558872739
Provider Name: SOLOMON EZEKIEL PEREZ, B.A
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3539 COLLEGE AVE
SAN DIEGO, CA
ZIP 92115
Phone: (619) 818-3788
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Solomon Ezekiel Perez, B.A is a peer specialist in San Diego, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Solomon Ezekiel Perez, B.A NPI is 1558872739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3539 COLLEGE AVE
SAN DIEGO, CA
ZIP 92115-032
Phone: (619) 818-3788

The enumeration date for this NPI number is 10/16/2017 and was last updated on 1/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		CALIFORNIA	No
2	175T00000X	Peer Specialist			CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3704	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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