Individual provider Active NPI

Tatiana Angrino, PA-C

  • Physician Assistant
  • Pompano Beach, FL
National Provider Identifier
1134722234
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113586 Issued in FL
Practice address
3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone
(954) 783-2323
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 PA9113586 FL Primary

Addresses

Primary practice location

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445

Mailing address

5347 NW 126TH Dr
Coral Springs, FL 33076-3405
Phone (786) 399-6338

Other practice location 1

9016 NW 55th St
Sunrise, FL 33351-7771
Phone (786) 399-6338

Other practice location 2

7710 NW 71st Ct Ste 203
Tamarac, FL 33321-2931
Phone (954) 783-2323

Other practice location 3

6238 Atlantic Ave Ste 300
Delray Beach, FL 33484-3501
Phone (561) 450-5040

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
I20230918001041 FL Practitioner - Physician Assistant 6406267962 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9113586FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medig Imaging LLC PastSince Nov 1, 2020 Accepting new patients
Adrian Lewis, M.D.,P.a. PastSince Nov 1, 2020 Accepting new patients

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1134722234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 NW 126TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763405",
            "telephone_number": "786-399-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-783-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9016 NW 55th St",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517771",
            "country_code": "US",
            "telephone_number": "786-399-6338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7710 NW 71st Ct Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212931",
            "country_code": "US",
            "telephone_number": "954-783-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6238 Atlantic Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334843501",
            "country_code": "US",
            "telephone_number": "561-450-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGRINO",
        "first_name": "TATIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.