Active NPI
Mikaela Mendez, PA-C
- Physician Assistant
- Hollywood, FL
National Provider Identifier
1033920558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 7777 Davie Road Ext Ste 100B
Hollywood, FL 33024-2524 - Phone
- (954) 362-3426
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
7777 Davie Road Ext Ste 100B
Hollywood, FL 33024-2524
Mailing address
714 NE 10TH St Apt 308
Hallandale Beach, FL 33009-2524
Phone (954) 600-1184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 E Broward Blvd
Suite 240
Fort Lauderdale, FL 33301-2111
Phone (954) 983-1211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis F Tami PA | Current | Accepting new patients |
Locations
1150 N 35th Ave
Ste 240
Hollywood, FL 33021
Phone (954) 362-3426
7777 Davie Road Ext
Ste 100B
Hollywood, FL 33024
Phone (954) 354-2600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Fort Lauderdale, FL
- NPI 1902593627
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1326235961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1033920558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 NE 10TH ST APT 308",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092524",
"telephone_number": "954-600-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 DAVIE ROAD EXT STE 100B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242524",
"telephone_number": "954-362-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "MIKAELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.