Active NPI
Roxana Rachel Morejon Perez
- Physician Assistant
- Glendale, AZ
National Provider Identifier
1912778218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10339
- Practice address
- 5633 W Zoe Ella Way
Glendale, AZ 85306-3034 - Phone
- (623) 261-8338
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001629 | PR | |
| Physician Assistant | 363A00000X | 10339 | AZ | Primary |
Addresses
Primary practice location
5633 W Zoe Ella Way
Glendale, AZ 85306-3034
Mailing address
5633 W Zoe Ella Way
Glendale, AZ 85306-3034
Phone (623) 261-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001629 | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd I Miller DPM PC | Past | Accepting new patients | |
| Gregg Krahn DPM PC | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1912778218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 W ZOE ELLA WAY",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853063034",
"telephone_number": "623-261-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 W ZOE ELLA WAY",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853063034",
"telephone_number": "623-261-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREJON PEREZ",
"first_name": "ROXANA",
"middle_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "001629",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.