Active NPI
John Alexander Pereira Barroso, SA-C
- Surgical Assistant
- Naples, FL
National Provider Identifier
1053895383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 16-608
- Practice address
- 7950 Preserve Cir Apt 818
Naples, FL 34119-6743 - Phone
- (239) 351-9260
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 16-608 | FL | Primary |
Addresses
Primary practice location
7950 Preserve Cir Apt 818
Naples, FL 34119-6743
Mailing address
7950 Preserve Cir Apt 818
Naples, FL 34119-6743
Phone (239) 351-9260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-608 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1053895383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 PRESERVE CIR APT 818",
"city": "NAPLES",
"state": "FL",
"postal_code": "341196743",
"telephone_number": "239-351-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 PRESERVE CIR APT 818",
"city": "NAPLES",
"state": "FL",
"postal_code": "341196743",
"telephone_number": "239-351-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA BARROSO",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "16-608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.