Individual provider Active NPI

Christal Perez, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1689286023
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118293 Issued in FL
Practice address
14310 N Dale Mabry Hwy Ste 305
Tampa, FL 33618-2059
Phone
(813) 615-7028
Fax
(813) 615-8008
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9971 GA
Physician Assistant 363A00000X PA9118293 FL Primary

Addresses

Primary practice location

14310 N Dale Mabry Hwy Ste 305
Tampa, FL 33618-2059

Mailing address

14310 N Dale Mabry Hwy Ste 305
Tampa, FL 33618-2059
Phone (813) 615-7028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240618004365 FL Practitioner - Physician Assistant 2961945951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

14310 N Dale Mabry Hwy
Suite 305
Tampa, FL 33618-2059
Phone (813) 615-7028

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9118293FLMDPhysician Assistant
9971GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc PastSince Aug 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cperez3365711@adventhealth.direct-ci.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.

Hospital & facility affiliations 3

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1689286023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 305",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-615-7028",
            "fax_number": "813-615-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 305",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-615-7028",
            "fax_number": "813-615-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHRISTAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9971",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.