Aspen Perovich, PA-C, MS, RDN

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63653 Issued in CA

Practice address

2575 E Bidwell St Ste 210
Folsom, CA 95630-6446

Phone

(916) 984-7850

NPI assigned

Jul 29, 2019

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Folsom Lake Primary Care PCGroup PAC ID 4385992940, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aperovich238809@hpmg.direct-ci.net
• Direct secure messaging: aperovich676239@hisp.ehr.sutterhealth.org

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.

• Folsom Lake Primary Care PC

  • Internal Medicine Physician
  • Folsom, CA
  • NPI 1043705718
  Medicare reassignment Care Compare group
• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1346894292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 SILVER CLIFF WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956708397",
            "telephone_number": "505-550-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST STE 210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306446",
            "telephone_number": "916-984-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROVICH",
        "first_name": "ASPEN",
        "credential": "PA-C, MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63653",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "978266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Michele Penkala, MD
• Carlos Gabriel Perez, M.D.
• Michael Perez
• Ramiro Moises Perez, PHARM.D.
• Romula Perez
• Peter N. Sfakianos, M.D., Inc.
• Patricia Magdalene Peters, LMFT
• Kelsey Petersen
• Susan Elise Petersen, OT
• Heather Peterson, M.S., LMFT

• Physician Assistant in Folsom, CA
• Providers in Folsom, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.