Individual provider Active NPI

Victor Segura-Perez, FNP

  • Family Nurse Practitioner
  • Tracy, CA
National Provider Identifier
1093251753
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005226 Issued in CA
Practice address
1420 N Tracy Blvd
S3Cvo
Tracy, CA 95376-3451
Phone
(855) 398-1644
Fax
(855) 398-8622
NPI assigned
Jan 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005226 CA Primary

Addresses

Primary practice location

1420 N Tracy Blvd
S3Cvo
Tracy, CA 95376-3451

Mailing address

1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (855) 398-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20170424002310 CA Practitioner - Nurse Practitioner 6608152855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 835-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Jan 1, 2025 Accepting new patients
County of San Joaquin CurrentSince Feb 16, 2019 Accepting new patients
Cep America - California Current Accepting new patients
County of San Joaquin CurrentSince Feb 16, 2019 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Feb 16, 2019 Accepting new patients
Cep America-California CurrentSince Jan 1, 2025 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

450 Glass Ln
Ste C
Modesto, CA 95356

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1420 N Tracy Blvd
#S3
Tracy, CA 95376
Phone (855) 398-1644

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

Interoperability endpoints

  • Direct secure messaging: vseguraperez367219@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1093251753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763451",
            "telephone_number": "855-398-1644",
            "fax_number": "855-398-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N TRACY BLVD",
            "address_2": "S3CVO",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763451",
            "telephone_number": "855-398-1644",
            "fax_number": "855-398-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA-PEREZ",
        "first_name": "VICTOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.