Individual provider Active NPI

Gabriel Jose Torres Perez, PA

  • Physician Assistant
  • Parker, AZ
National Provider Identifier
1184342289
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9867 Issued in AZ
Practice address
1200 W Mohave Rd
Parker, AZ 85344-6349
Phone
(928) 669-7380
NPI assigned
Aug 16, 2022
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9867 AZ Primary
Medical Physician Assistant 363AM0700X 1386-P.A. PR

Addresses

Primary practice location

1200 W Mohave Rd
Parker, AZ 85344-6349

Mailing address

PO Box 1659
Parker, AZ 85344-1659
Phone (928) 669-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240228001532 AZ Practitioner - Physician Assistant 5799120846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians

Practice addresses (Care Compare)

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1713 S Kofa Ave
Suite a
Parker, AZ 85344-6401
Phone (928) 669-7380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9867AZMDAmbulatory Care Pharmacist
1386-P.A.PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
La Paz Regional Hospital Inc., Dba Parker Podiatry CurrentSince Dec 26, 2023 Accepting new patients
Servicios Quirurgicos del Caribe, P.S.C PastSince Aug 1, 2022 Accepting new patients
La Paz Regional Hospital Inc Past Accepting new patients

Locations

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

Interoperability endpoints

  • Direct secure messaging: gabrieltorresperez@lprh.medalliesdirect.net

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1184342289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1659",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853441659",
            "telephone_number": "928-669-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "928-669-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES PEREZ",
        "first_name": "GABRIEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9867",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1386-P.A.",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.