Individual provider · Type 1 NPI

Ecstacy Peralta

Physician Assistant · Santa Ana, CA

NPI number 1659774602 Active

Practice location

1212 W. 17th St
Santa Ana, CA 92706

Fax (714) 796-6265

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	51945 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659774602

Ecstacy Peralta's National Provider Identifier is 1659774602, issued on Oct 6, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Ana, CA. The record was last updated on Mar 13, 2025.