MIGUEL A PERALTA SR. PA-C
NPI 1619196474
Physician Assistant - Surgical in Burbank, CA

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
2625 W ALAMEDA AVE, #116, BURBANK, CA 91505(818) 841-3936(818) 841-5974 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miguel A Peralta Sr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL A PERALTA SR. PA-C (NPI 1619196474) is an individual surgical provider in Burbank, California, licensed in California (19101) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1619196474
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMIGUEL A PERALTA SR.Credential: PA-C
Location Address2625 W ALAMEDA AVE, #116Burbank, CA 91505-4806
Mailing Address2625 W Alameda Ave, #116Burbank, CA 91505-4806 · (818) 841-3936 · Fax (818) 841-5974
Fax(818) 841-5974
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2007
Last NPPES UpdateDecember 6, 2021
NPI 1619196474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 19101
2625 W ALAMEDA AVE, Burbank, CA 91505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miguel A Peralta Sr. Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42317570
PECOS Enrollment IDI20070517000669
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
2625 W ALAMEDA AVE, 208
BURBANK, CA 91505
Dentist
2625 W ALAMEDA AVE, SUITE 216
BURBANK, CA 91505
Optometrist
2625 W ALAMEDA AVE, 208
BURBANK, CA 91505
Podiatrist (Foot & Ankle Surgery)
2625 W ALAMEDA AVE, STE 314
BURBANK, CA 91505
Internal Medicine (Nephrology)
2625 W ALAMEDA AVE, SUIT # 516
BURBANK, CA 91505
Specialist
2625 W ALAMEDA AVE, #506
BURBANK, CA 91505
Ophthalmology
2625 W ALAMEDA AVE, 208
BURBANK, CA 91505
Internal Medicine (Critical Care Medicine)
2625 W ALAMEDA AVE, STE 506
BURBANK, CA 91505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Peralta's NPI number?

The NPI number for Miguel Peralta is 1619196474. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Miguel Peralta located?

Miguel Peralta practices at 2625 W Alameda Ave #116, Burbank, CA 91505. The listed phone number is (818) 841-3936.

What is Miguel Peralta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Miguel Peralta enrolled in Medicare?

Yes. Miguel Peralta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Miguel Peralta was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.