Active NPI
Livan Perez
- Physician Assistant
- Liberal, KS
National Provider Identifier
1295656197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 315 W 15TH St
Liberal, KS 67901-2455 - Phone
- (620) 624-1651
- NPI assigned
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
315 W 15TH St
Liberal, KS 67901-2455
Mailing address
300 N Main St Apt 211
Wichita, KS 67202-1628
Phone (559) 936-8834
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1295656197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N MAIN ST APT 211",
"city": "WICHITA",
"state": "KS",
"postal_code": "672021628",
"telephone_number": "559-936-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 15TH ST",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012455",
"telephone_number": "620-624-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LIVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.