Active NPI
Angelica D Perez, P.A.-C
- Medical Physician Assistant
- Turlock, CA
National Provider Identifier
1508053463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 19347
- Practice address
- 1 University Cir
Csu Stanislaus, Student Health Center
Turlock, CA 95382-3200 - Phone
- (209) 667-3396
- Fax
- (209) 667-3195
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 19347 | CA | Primary |
Addresses
Primary practice location
1 University Cir
Csu Stanislaus, Student Health Center
Turlock, CA 95382-3200
Mailing address
One University Circle
Student Health Center
Turlock, CA 95382
Phone (209) 667-3396
Other names 1
- Angelica Perez-Romo
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 19347 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California State University Stanislaus | Past | Accepting new patients | |
| California State University, Stanislaus Student Health Center | Past | Accepting new patients |
Interoperability endpoints
- angelica.perez@398008301912068.direct.elationemr.com
Organizations & group practices 2
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.
-
- Clinic Pharmacy
- Turlock, CA
- NPI 1528195393
-
- Student Health Clinic/Center
- Turlock, CA
- NPI 1841338191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1508053463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE UNIVERSITY CIRCLE",
"address_2": "STUDENT HEALTH CENTER",
"city": "TURLOCK",
"state": "CA",
"postal_code": "95382",
"telephone_number": "209-667-3396",
"fax_number": "209-667-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY CIR",
"address_2": "CSU STANISLAUS, STUDENT HEALTH CENTER",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953823200",
"telephone_number": "209-667-3396",
"fax_number": "209-667-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ANGELICA",
"middle_name": "D",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 19347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELICA",
"last_name": "PEREZ-ROMO",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.