NPIMap

Organization Active NPI

Ormond Family Care, LLC

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1003291865
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10426 Issued in FL
Legal business name
ORMOND FAMILY CARE, LLC
Practice address
279 S Yonge St
Ormond Beach, FL 32174-6257
Phone
(386) 955-9704
Fax
(386) 872-5004
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Savitha Bhat Kasturi, D.O.
Title
Owner
Phone
(337) 739-0726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS10426 FL Primary

Addresses

Primary practice location

279 S Yonge St
Ormond Beach, FL 32174-6257

Mailing address

279 S Yonge St
Ormond Beach, FL 32174-6257
Phone (386) 955-9704

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1003291865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746257",
            "telephone_number": "386-955-9704",
            "fax_number": "386-872-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746257",
            "telephone_number": "386-955-9704",
            "fax_number": "386-872-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "KASTURI",
        "authorized_official_first_name": "SAVITHA",
        "authorized_official_middle_name": "BHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-739-0726",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.