Individual provider Active NPI

Jahaira Lopez -Pastrana, MD

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1104051499
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME183043 Issued in FL
Practice address
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone
(813) 745-4673
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME183043 FL Primary
Psychiatry Physician 2084P0800X MD468241 PA
Psychosomatic Medicine Physician 2084P0015X 468241 PA
Psychiatry Physician 2084P0800X 17562 PR

Addresses

Primary practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-4673

Other practice location 1

RR 6 Box 10929
San Juan, PR 00926-9474
Phone (787) 239-3955

Other practice location 2

25 Tamarack Cir
Eagleville, PA 19403-1750
Phone (787) 239-3955

Other practice location 3

25 Tamarack Cir
Eagleville, PA 19403-1750
Phone (787) 239-3955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527000519 PA Practitioner - Psychiatry 3375873219 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians
Restoration and Wellness LLCGroup PAC ID 7618353426, 4 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 301
Abington, PA 19001-3724
Phone (215) 481-3133

223 Summit Ave
Fort Washington, PA 19034-1525
Phone (844) 448-5872

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
468241PAMDPsychosomatic Medicine Physician
17562PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Restoration and Wellness LLC CurrentSince Jul 1, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 1, 2020 Accepting new patients
Jefferson University Physicians CurrentSince Jan 1, 2022 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jun 1, 2020 Accepting new patients
Ultracare Anesthesia Partners LLC PastSince Jul 1, 2024 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 308
Abington, PA 19001
Phone (215) 481-2589

1245 Highland Ave
Ste 301
Abington, PA 19001
Phone (215) 481-3133

223 Summit Ave
Ft Washington, PA 19034
Phone (844) 448-5672

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1104051499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848441",
            "telephone_number": "813-745-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "RR 6 Box 10929",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009269474",
            "country_code": "US",
            "telephone_number": "787-239-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Tamarack Cir",
            "address_purpose": "LOCATION",
            "city": "Eagleville",
            "state": "PA",
            "postal_code": "194031750",
            "country_code": "US",
            "telephone_number": "787-239-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Tamarack Cir",
            "address_purpose": "LOCATION",
            "city": "Eagleville",
            "state": "PA",
            "postal_code": "194031750",
            "country_code": "US",
            "telephone_number": "787-239-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ -PASTRANA",
        "first_name": "JAHAIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME183043",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD468241",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "468241",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "17562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.