Wendy Dawn Reed Perez, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12995 Issued in CA

Practice address

6700 N 1St St
Suite 131
Fresno, CA 93710-3900

Phone

(559) 432-3333

Fax

(559) 432-3336

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1871792176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD",
            "address_2": "SUITE 212",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734775",
            "telephone_number": "909-335-8649",
            "fax_number": "909-557-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST",
            "address_2": "SUITE 131",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103900",
            "telephone_number": "559-432-3333",
            "fax_number": "559-432-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED PEREZ",
        "first_name": "WENDY",
        "middle_name": "DAWN",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA12995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICEN",
            "identifier": "PA12995",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Brian Rediske
• Heather Allyn Redmond-Archer, RN
• Katherine Alexandra Redwine, PH.D.
• Tyra Paige Reece-Smith
• Haley Briana Reed Jackson
• Arkami Reed
• Brittany Alexis Reed, CCP
• Jeffery Reed, LMFT
• Melissa Reed
• Terri Renei Reed

• Medical Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.