Emilse Peraza, PA-C
NPI 1619252384 · Physician Assistant · Salt Lake City, UT
Provider details
- NPI number
- 1619252384
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-03160 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 925 Wells AvenueW. Wendover, NV 89883Phone: (775) 664-2220Fax: (775) 664-2965
- 925 Wells AvenueW. Wendover, NV 89883Phone: (775) 664-2220Fax: (775) 664-2965
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.