Active NPI
Leticia R. Perez, MPAS, PA
- Medical Physician Assistant
- Austin, TX
National Provider Identifier
1972680858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA04895
- Practice address
- 2800 S Interstate 35 Ste 103
Austin, TX 78704-5700 - Phone
- (512) 826-0773
- Fax
- (833) 938-5463
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PA04895 | TX | |
| Medical Physician Assistant | 363AM0700X | PA04895 | TX | Primary |
Addresses
Primary practice location
2800 S Interstate 35 Ste 103
Austin, TX 78704-5700
Mailing address
2800 S Interstate 35 Ste 103
Austin, TX 78704-5700
Phone (512) 826-0773
Other practice location 1
12221 Renfert Way Ste 330
Austin, TX 78758-5374
Phone (512) 425-3823
Other practice location 2
3401 N 23rd St
McAllen, TX 78501
Phone (956) 603-1600
Other practice location 3
3401 N 23rd St
McAllen, TX 78501
Phone (956) 603-1600
Other practice location 4
1900 W University Dr Ste 7
Edinburg, TX 78539-2865
Phone (956) 603-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA04895 | Other | TX | TEXAS MEDICAL LIC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| PA04895 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernando J Otero MD PA | Past | Accepting new patients | |
| Norma a. Garcia, D.O. , P.a. | Past | Accepting new patients |
Interoperability endpoints
- leticia.perez.1@15777.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Public Health & General Preventive Medicine Physician
- Austin, TX
- NPI 1366266363
-
- Obstetrics & Gynecology Physician
- McAllen, TX
- NPI 1245703719
-
- Obstetrics & Gynecology Physician
- McAllen, TX
- NPI 1477152486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1972680858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S INTERSTATE 35 STE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045700",
"telephone_number": "512-826-0773",
"fax_number": "833-938-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S INTERSTATE 35 STE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045700",
"telephone_number": "512-826-0773",
"fax_number": "833-938-5463"
}
],
"practiceLocations": [
{
"address_1": "12221 Renfert Way Ste 330",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787585374",
"country_code": "US",
"telephone_number": "512-425-3823",
"fax_number": "512-425-3829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N 23rd St",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "78501",
"country_code": "US",
"telephone_number": "956-603-1600",
"fax_number": "956-603-1601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N 23rd St",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "78501",
"country_code": "US",
"telephone_number": "956-603-1600",
"fax_number": "956-603-1601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 W University Dr Ste 7",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785392865",
"country_code": "US",
"telephone_number": "956-603-1600",
"fax_number": "956-386-9237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "LETICIA",
"middle_name": "R.",
"credential": "MPAS, PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04895",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LIC.",
"identifier": "PA04895",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.