Individual provider Active NPI

Rebecca Perez, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1679397855
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA18977 Issued in TX
Practice address
21727 Ih 10 W Ste 104
San Antonio, TX 78257-2108
Phone
(210) 899-6856
Fax
(210) 750-3056
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA18977 TX Primary
Allergy & Immunology Physician 207K00000X PA18977 TX

Addresses

Primary practice location

21727 Ih 10 W Ste 104
San Antonio, TX 78257-2108

Mailing address

21727 Ih 10 W Ste 104
San Antonio, TX 78257-2108
Phone (210) 899-6856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250602001058 TX Practitioner - Physician Assistant 2668981622 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA18977TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Immuno, PA Allergy & Immunology CurrentSince Jul 9, 2025 Accepting new patients

Locations

21727 Ih 10 W
Ste 104
San Antonio, TX 78257
Phone (210) 899-6856

Interoperability endpoints

  • Direct secure messaging: rebecca.perez.1@19634.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1679397855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 IH 10 W STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572108",
            "telephone_number": "210-899-6856",
            "fax_number": "210-750-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 IH 10 W STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572108",
            "telephone_number": "210-899-6856",
            "fax_number": "210-750-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA18977",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "PA18977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.