Individual provider Active NPI

Steven Allen Perinovic, PA-C

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1669982708
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
54972 Issued in CA
Practice address
1535 River Park Dr Ste 200
Sacramento, CA 95815-4601
Phone
(916) 286-1081
NPI assigned
Oct 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X
Medical Physician Assistant 363AM0700X 54972 CA Primary

Addresses

Primary practice location

1535 River Park Dr Ste 200
Sacramento, CA 95815-4601

Mailing address

1535 River Park Dr
Sacramento, CA 95815-4601
Phone (916) 286-1080

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
I20180208002648 CA Practitioner - Physician Assistant 2466710033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

14264 Innovation Dr
Folsom, CA 95630-4099
Phone (916) 985-9300

1535 River Park Dr
Sacramento, CA 95815-4601

2400 Del Paso Rd
Suite 145
Sacramento, CA 95834-9629
Phone (916) 928-3940

4860 Y St
Sacramento, CA 95817-2307

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54972CAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Multi-Specialty CurrentSince Apr 5, 2021 Accepting new patients
Regents of the University of California Multi-Specialty CurrentSince Apr 5, 2021 Accepting new patients
Essent PRMC LP Multi-Specialty Past Accepting new patients
Regents of the Univ of Ca Multi-Specialty Past Accepting new patients
Regents of the Univ of Ca Multi-Specialty Past Accepting new patients

Locations

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758

14264 Innovation Dr
Folsom, CA 95630
Phone (916) 703-2486

1535 River Park Dr
Sacramento, CA 95815
Phone (916) 286-1080

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

1535 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 286-1081

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

Interoperability endpoints

  • Direct secure messaging: sperinovic385510@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1669982708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 RIVER PARK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154601",
            "telephone_number": "916-286-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 RIVER PARK DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154601",
            "telephone_number": "916-286-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINOVIC",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "54972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.