Beverly Perry, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA14634 Issued in CA

Practice address

6401 Truxtun Ave
Ste
Bakersfield, CA 93309-0613

Phone

(661) 327-9300

Fax

(661) 327-9301

NPI assigned

Feb 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• MSK-US, Inc.

  • Diagnostic Ultrasound Physician
  • La Mesa, CA
  • NPI 1033404306
  NPD (past)
• Starr-Wood Cardiac Group of Visalia Medical Corporation, PC

  • Clinic/Center
  • Visalia, CA
  • NPI 1902871841
  NPD (past)
• Mercy Clinic Cardiovascular and Thoracic Surgery, LLC

  • Vascular Surgery Physician
  • Washington, MO
  • NPI 1528192416
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1710952643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 STATEN ISLAND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119672",
            "telephone_number": "559-410-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 TRUXTUN AVE",
            "address_2": "STE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090613",
            "telephone_number": "661-327-9300",
            "fax_number": "661-327-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BEVERLY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA14634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA14634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Perkins
• Niharika Perni, M.D.
• Amelia Jerrise Perreault
• Robert Wayne Perrine
• Perry Y Jue DMD Inc
• Cristen Perry
• Gloria Marie Perry, PA-C
• Haley Perry, NURSE PRACTITIONER
• Jyvon F Perry
• Shavonia Shanae Perry

• Surgical Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.