Individual provider Active NPI

Clara Huebra Beguiristain, PA-C

  • Pediatric Surgery Physician
  • Hollywood, FL
National Provider Identifier
1063266385
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
9118561 Issued in FL
Practice address
1150 N 35TH Ave Ste 555
Hollywood, FL 33021-5431
Phone
(561) 929-2901
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X 9118561 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 555
Hollywood, FL 33021-5431

Mailing address

1650 S Le Jeune Rd Apt 105
Miami, FL 33134-3800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912000623 FL Practitioner - Physician Assistant 3870033269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9118561FLMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
South Broward Hospital District CurrentSince Jul 1, 2024 Accepting new patients
South Broward Hospital District Single Specialty Past Accepting new patients

Locations

1150 N 35th Ave
Ste 555
Hollywood, FL 33021
Phone (954) 981-0072

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1865 N Corporate Lakes Blvd
Ste 1
Weston, FL 33326
Phone (954) 265-9344

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1063266385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S LE JEUNE RD APT 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331343800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 555",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215431",
            "telephone_number": "561-929-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGUIRISTAIN",
        "first_name": "CLARA",
        "middle_name": "HUEBRA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "9118561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.