Individual provider Active NPI

Perlee C Tobias, FNP

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1508450966
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014883 Issued in CA
Practice address
2 Duane
Irvine, CA 92620-2721
Phone
(323) 394-9334
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014883 CA Primary

Addresses

Primary practice location

2 Duane
Irvine, CA 92620-2721

Mailing address

2 Duane
Irvine, CA 92620-2721
Phone (323) 394-9334

Other names 1

  • Mrs. Perlee Tobias Trout Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210729000878 CA Practitioner - Nurse Practitioner 7315340247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014883CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke Lew Medical Corp CurrentSince Sep 1, 2022 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

519 W Badillo St
Covina, CA 91722
Phone (626) 915-5621

3535 W Commonwealth Ave
Fullerton, CA 92833
Phone (949) 243-7788

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

8925 Mines Ave
Pico Rivera, CA 90660
Phone (562) 642-7019

1880 Dawson Ave
Signal Hill, CA 90755
Phone (562) 494-5188

Interoperability endpoints

  • Direct secure messaging: perlee.tobias.1@22909.direct.athenahealth.com
  • Direct secure messaging: illuminationfoundationmedicalgroup.perleetobias@159944.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/22909/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1508450966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUANE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202721",
            "telephone_number": "323-394-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUANE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202721",
            "telephone_number": "323-394-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "PERLEE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERLEE",
            "last_name": "TROUT",
            "middle_name": "TOBIAS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.