Individual provider Active NPI

Cristobal Perez, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1184633968
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04389 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Aug 7, 2006
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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 PA04389 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9000

Other identifiers 1

IdentifierTypeStateIssuer
202342601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050603000109 TX Practitioner - Physician Assistant 3779526512 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alasdair Goldstein MD PAGroup PAC ID 0446356646, 8 clinicians

Practice addresses (Care Compare)

9643 Huebner Rd
Suite 102
San Antonio, TX 78240-1752
Phone (210) 614-8222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Texas, PLLC CurrentSince Jun 1, 2013 Accepting new patients
Vitalcare Health Services PC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Mar 7, 2005 Accepting new patients
Inpatient Consultants of Texas, PLLC. CurrentSince Jun 1, 2013 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 2, 2019 Accepting new patients
El Paso County Hospital District CurrentSince Nov 2, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Mar 7, 2005 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 2, 2019 Accepting new patients
El Paso County Hospital District Past Accepting new patients
M. Reza Mizani, M.D., P.a. Past Accepting new patients
Clinical Neuropsychology of Texas, PLLC PastSince Sep 13, 2020 Accepting new patients

Locations

207 E Parkerville Rd
Desoto, TX 75115
Phone (385) 454-5027

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4824 Alberta Ave
Fl 4
El Paso, TX 79905
Phone (915) 521-7103

598 N Union Ave
Ste 100
New Braunfels, TX 78130

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

502 Madison Oak Dr
Ste 346
San Antonio, TX 78258
Phone (210) 575-6240

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1184633968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CRISTOBAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202342601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.