Individual provider Active NPI

Julie Samora, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1053703702
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118677 Issued in FL
Practice address
2310 Biscayne Blvd
Miami, FL 33137-4514
Phone
(786) 579-1222
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118677 FL Primary

Addresses

Primary practice location

2310 Biscayne Blvd
Miami, FL 33137-4514

Mailing address

3626 SW 26TH Ter
Miami, FL 33133-2706
Phone (305) 801-9567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9118677FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Bayamo Medical Center Inc PastSince Jul 17, 2021 Accepting new patients

Locations

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

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.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1053703702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 SW 26TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332706",
            "telephone_number": "305-801-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374514",
            "telephone_number": "786-579-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMORA",
        "first_name": "JULIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.