Individual provider Active NPI

Aracely Perales, PA-C

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1124337241
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21216 Issued in CA
Practice address
716 E. Mission Blvd
Suite D
Pomona, CA 91766
Phone
(909) 865-2332
Fax
(909) 868-7129
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21216 CA Primary

Addresses

Primary practice location

716 E. Mission Blvd
Suite D
Pomona, CA 91766

Mailing address

716 E. Mission Blvd
Suite D
Pomona, CA 91766
Phone (909) 865-2332

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
I20200107001836 CA Practitioner - Physician Assistant 5890129431 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21216CAMDPhysician Assistant
21216CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Mar 6, 2025 Accepting new patients
JWCH Institute, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Mar 6, 2025 Accepting new patients
JWCH Institute Inc CurrentSince Oct 15, 2019 Accepting new patients

Locations

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

Interoperability endpoints

  • Direct secure messaging: aracely.perales.p1@direct.ccchcenter.nextgenshare.com
  • Direct secure messaging: aracely.peralespa.p1@direct.jwch.nextgenshare.com

Organizations & group practices 5

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1124337241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E. MISSION BLVD",
            "address_2": "SUITE D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91766",
            "telephone_number": "909-865-2332",
            "fax_number": "909-868-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E. MISSION BLVD",
            "address_2": "SUITE D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91766",
            "telephone_number": "909-865-2332",
            "fax_number": "909-868-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALES",
        "first_name": "ARACELY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.