Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emilse Antonio Peraza, PA-C

Individual provider Physician Assistant · NPI 1619252384

Emilse Antonio Peraza, PA-C is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2011, 15 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina, Nevada and Utah.

Years since qualifying
15
Trained at
University of Utah School of Medicine
Licensed in
NC, NV, UT
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1045 E 3900 S
Salt Lake City, UT 84124-1100
Phone: (801) 261-2000
Fax: (801) 262-5304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 925 Wells Avenue, W. Wendover, NV 89883 — (775) 664-2220
  • 925 Wells Avenue, W. Wendover, NV 89883 — (775) 664-2220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6777964-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 0010-03160 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA1364 (NV)

Record details

NPI number1619252384
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 13, 2011
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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