Victoria Perez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102528 Issued in FL

Practice address

5355 Lyons Rd
Coconut Creek, FL 33073-2825

Phone

(954) 570-9595

Fax

(954) 354-8151

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Local Specialty Care IncGroup PAC ID 3971591231, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA/Endpoint/HAEGBA
• FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA
• FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Local Specialty Care, Inc

  • Family Medicine Physician
  • Hallandale Beach, FL
  • NPI 1750377453
  Medicare reassignment Care Compare group
• Complete Local Specialty Care, Inc

  • Family Medicine Physician
  • Coconut Creek, FL
  • NPI 1538155262
  NPD (past)
• Complete Local Specialty Care, Inc.

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1326035312
  NPD (past)
• Mel-Bay Health Care Inc

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1407162654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1013905744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W HILLSBORO BLVD",
            "address_2": "SUITE B 2",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734356",
            "telephone_number": "954-418-1683",
            "fax_number": "954-418-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-570-9595",
            "fax_number": "954-354-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292586900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Stevia Pena, LMHC, CAP
• Reginald Perard, APRN
• Nelson Pereira, MD
• Dana Gabriela Perez Gomes, BCBA
• Leonides Perez
• Jennifer J Perkins, FNP-BC
• Alejandra Perry
• Peter a Rossen DDS
• James Petit
• John Derrick Pettit

• Physician Assistant in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.