Individual provider Active NPI

Diana A Perez, PA-C

  • Medical Physician Assistant
  • Pasadena, TX
National Provider Identifier
1679704548
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06197 Issued in TX
Practice address
5213 Center St
Pasadena, TX 77505-1866
Phone
(281) 476-9900
Fax
(281) 479-1320
NPI assigned
Jul 27, 2009
Last updated
Jul 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06197 TX Primary

Addresses

Primary practice location

5213 Center St
Pasadena, TX 77505-1866

Mailing address

5213 Center St
Pasadena, TX 77505-1866
Phone (281) 476-9900

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
I20091009000484 TX Practitioner - Physician Assistant 9133265804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powell and Fuselier Medical PLLCGroup PAC ID 0042447336, 11 clinicians

Practice addresses (Care Compare)

17450 St Lukes Way
Suite 390
The Woodlands, TX 77384-2001
Phone (940) 808-0949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PA06197TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Consultants Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1679704548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 CENTER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051866",
            "telephone_number": "281-476-9900",
            "fax_number": "281-479-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 CENTER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051866",
            "telephone_number": "281-476-9900",
            "fax_number": "281-479-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DIANA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.