Healthcare Provider Details

I. General information

NPI: 1821299926
Provider Name (Legal Business Name): ARTEMIO ALBERT PEREZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GREGORY LN STE 104
PLEASANT HILL CA
94523-2851
US

IV. Provider business mailing address

401 GREGORY LN STE 104
PLEASANT HILL CA
94523-2851
US

V. Phone/Fax

Practice location:
  • Phone: 925-430-5833
  • Fax: 925-430-5849
Mailing address:
  • Phone: 925-430-5833
  • Fax: 925-430-5849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number25MB08369500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: