Individual provider Active NPI

Tamara Giraldo, PA

  • Medical Physician Assistant
  • Coconut Creek, FL
National Provider Identifier
1033669049
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109873 Issued in FL
Practice address
4570 Lyons Rd Ste 110
Coconut Creek, FL 33073-3481
Phone
(954) 971-3210
Fax
(954) 971-3427
NPI assigned
Oct 13, 2016
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109873 FL Primary

Addresses

Primary practice location

4570 Lyons Rd Ste 110
Coconut Creek, FL 33073-3481

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 971-3210

Other identifiers 1

IdentifierTypeStateIssuer
019673300MedicaidFL

Other names 1

  • Tamara Guardia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109873FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Future Pediatrics, LLC Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince Oct 6, 2019 Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson PastSince Oct 6, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tgiraldo@pa.trimed.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1033669049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-971-3210",
            "fax_number": "954-971-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 LYONS RD STE 110",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733481",
            "telephone_number": "954-971-3210",
            "fax_number": "954-971-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "TAMARA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019673300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "GUARDIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.