Individual provider Active NPI

Chris Curtis Perez, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1245417690
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01100001168 Issued in VA
Practice address
2401 E Street NW
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Phone
(011) 302-1072
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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 01100001168 VA Primary

Addresses

Primary practice location

2401 E Street NW
M/Med/Qi, Sa-1
Washington, DC 20522-0001

Mailing address

2401 E Street NW
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Phone (011) 302-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01100001168VAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1245417690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E STREET NW",
            "address_2": "M/MED/QI, SA-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220001",
            "telephone_number": "011-302-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E STREET NW",
            "address_2": "M/MED/QI, SA-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220001",
            "telephone_number": "011-302-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHRIS",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "01100001168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.