Individual provider Active NPI

Alberto Pacheco Garrido, PA

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1053106096
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003000 Issued in PR
Practice address
7901 4TH St N Ste 205
St Petersburg, FL 33702-4300
Phone
(602) 907-1301
NPI assigned
Apr 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003000 PR Primary
Family Medicine Physician 207Q00000X 139169

Addresses

Primary practice location

7901 4TH St N Ste 205
St Petersburg, FL 33702-4300

Mailing address

8410 W Thomas Rd Ste 1388410W
Phoenix, AZ 85037-3329
Phone (602) 907-1301

Other practice location 1

8410 W Thomas Rd Ste 138
Phoenix, AZ 85037-3374
Phone (602) 907-1301

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
003000PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1053106096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD STE 1388410W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373329",
            "telephone_number": "602-907-1301",
            "fax_number": "602-907-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 205",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024300",
            "telephone_number": "602-907-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8410 W Thomas Rd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373374",
            "country_code": "US",
            "telephone_number": "602-907-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO GARRIDO",
        "first_name": "ALBERTO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "003000",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": "139169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.