Jarvis Maleek Perkins

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65728 Issued in CA

Practice address

27800 Medical Center Rd Ste 109
Mission Viejo, CA 92691-6410

Phone

(949) 866-3600

NPI assigned

Jan 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jarvisperkins@clchc.allscriptsdirect.net
• Direct secure messaging: jarvis.perkins.1@34117.direct.athenahealth.com

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.

• Calyx Practice Solutions Inc

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1649153578
  Medicare reassignment NPD
• Mint Health Solutions, Inc

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1316543119
  Medicare reassignment
• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1902437155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 109",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-866-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 109",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-866-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 3rd St",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917504401",
            "country_code": "US",
            "telephone_number": "909-593-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12432 Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902422806",
            "country_code": "US",
            "telephone_number": "888-805-0759 x162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "556 S Fair Oaks Ave Ste 101-214",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052656",
            "country_code": "US",
            "telephone_number": "323-250-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JARVIS",
        "middle_name": "MALEEK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson W Penry, MD
• Jennifer Silva Pentz, LMFT
• Donald Robert Pereslete, DDS
• Damian Perez
• Roger Perez, PH.D.
• Sharone Perlman, NP
• Zachary James Perry
• Heather Susan Persons, AMFT
• Julia Junn Persons, DNP, FNP-C
• Tiffany Irene Pesch, MA

• Physician Assistant in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.