Individual provider Active NPI

Tristan Pereira, PT, DPT

  • Physical Therapist
  • Oxnard, CA
National Provider Identifier
1205545597
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303234 Issued in CA
Practice address
1160 N Ventura Rd
Oxnard, CA 93030-3802
Phone
(805) 604-9300
Fax
(805) 988-2406
NPI assigned
Nov 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303234 CA Primary

Addresses

Primary practice location

1160 N Ventura Rd
Oxnard, CA 93030-3802

Mailing address

701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806

Other practice location 1

6591 Collins Dr Ste E8
Moorpark, CA 93021-1492
Phone (805) 517-0151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207001167 CA Practitioner - Physical Therapist in Private Practice 1759753494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy and Associates IncGroup PAC ID 4486962867, 4 clinicians

Practice addresses (Care Compare)

1160 N Ventura Rd
Oxnard, CA 93030-3802
Phone (805) 604-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303234CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy & Associates Inc Physical Therapist CurrentSince Dec 27, 2022 Accepting new patients

Locations

6591 Collins Dr
Ste E8
Moorpark, CA 93021
Phone (805) 517-0151

1160 N Ventura Rd
Oxnard, CA 93030
Phone (805) 604-9300

1601 S Victoria Ave
Ste 200
Oxnard, CA 93035

Organizations & group practices 1

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1205545597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916015",
            "telephone_number": "559-713-6806",
            "fax_number": "559-713-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303802",
            "telephone_number": "805-604-9300",
            "fax_number": "805-988-2406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6591 Collins Dr Ste E8",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930211492",
            "country_code": "US",
            "telephone_number": "805-517-0151",
            "fax_number": "805-517-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "TRISTAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.