Active NPI
Daniel Perry, PA-C
- Surgical Physician Assistant
- Arroyo Grande, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 53948
- Practice address
- 880 Oak Park Blvd Ste 201
Arroyo Grande, CA 93420-1821 - Phone
- (805) 473-8346
- NPI assigned
- Dec 11, 2015
- Last updated
- Jan 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 53948 | CA | Primary |
Addresses
Primary practice location
880 Oak Park Blvd Ste 201
Arroyo Grande, CA 93420-1821
Mailing address
11525 Piona LN
Atascadero, CA 93422-6043
Phone (805) 462-8334
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Miller St
Suite C
Santa Maria, CA 93454-4557
Phone (805) 739-0033
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley S Kurgis D O Inc | Past | Accepting new patients | |
| Twin Cities Community Hospital, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dermatology Physician
- Pismo Beach, CA
- NPI 1356094676
-
- MOHS-Micrographic Surgery Physician
- Templeton, CA
- NPI 1366736290
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
dba Twin Cities Community Hospital
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba French Hospital Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1710352083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 PIONA LN",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934226043",
"telephone_number": "805-462-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 OAK PARK BLVD STE 201",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934201821",
"telephone_number": "805-473-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DANIEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-11",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "53948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.