Individual provider Active NPI

Sandra Velazquez Perkins, PA-C

  • Physician Assistant
  • Banning, CA
National Provider Identifier
1902134539
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 20621 Issued in CA
Practice address
330 W Ramsey St
Banning, CA 92220-4823
Phone
(951) 849-1950
Fax
(951) 849-0080
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 20621 CA Primary

Addresses

Primary practice location

330 W Ramsey St
Banning, CA 92220-4823

Mailing address

330 W Ramsey St
Banning, CA 92220-4823
Phone (951) 849-1950

Other practice location 1

164 W Hospitality Ln Ste 3B
San Bernardino, CA 92408-3328
Phone (909) 891-1164

Other practice location 2

1688 N Perris Blvd
Suite H-4
Perris, CA 92571-4709
Phone (951) 657-7879

Other practice location 3

1230 E Arrow Hwy
Upland, CA 91786-4910
Phone (909) 622-1235

Other practice location 4

1920 N Garey Ave
Pomona, CA 91767-2720
Phone (909) 622-1235

Other identifiers 1

IdentifierTypeStateIssuer
PA 20621OtherCACA PA-C LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 20621CAMDPhysician Assistant
20621CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sandra.perkins.p2@direct.mpmccorp.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1902134539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-849-1950",
            "fax_number": "951-849-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204823",
            "telephone_number": "951-849-1950",
            "fax_number": "951-849-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 W Hospitality Ln Ste 3B",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083328",
            "country_code": "US",
            "telephone_number": "909-891-1164",
            "fax_number": "909-383-6689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1688 N Perris Blvd",
            "address_2": "Suite H-4",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925714709",
            "country_code": "US",
            "telephone_number": "951-657-7879",
            "fax_number": "951-657-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864910",
            "country_code": "US",
            "telephone_number": "909-622-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672720",
            "country_code": "US",
            "telephone_number": "909-622-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ PERKINS",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 20621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PA-C LICENSE NUMBER",
            "identifier": "PA 20621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.