Individual provider Active NPI

Jose Valentin, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Cocoa Beach, FL
National Provider Identifier
1144660424
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9107281 Issued in FL
Practice address
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone
(321) 434-8777
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107281 FL
Surgical Physician Assistant 363AS0400X PA9107281 FL Primary

Addresses

Primary practice location

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-8777

Other practice location 1

8725 N Wickham Rd
Melbourne, FL 32940-2239
Phone (321) 434-8777

Other practice location 2

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3577
Phone (321) 434-8777

Other identifiers 2

IdentifierTypeStateIssuer
120461300MedicaidFL
NV683OtherFLMEDICARE

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
I20130820001060 FL Practitioner - Physician Assistant 7416190509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7128

8725 N Wickham Rd
Melbourne, FL 32940-2240

8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162

Hospital & facility affiliations

  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9107281FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Jul 5, 2021 Accepting new patients
Health First Medical Group, LLC CurrentSince Jul 5, 2021 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 505
Cocoa Beach, FL 32931
Phone (321) 783-1133

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 549-0815

8725 N Wickham Rd
Ste 302
Melbourne, FL 32940
Phone (321) 434-9230

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

8725 N Wickham Rd
Viera, FL 32940
Phone (321) 253-4673

8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191

Interoperability endpoints

  • Direct secure messaging: jvalentin24972@epicdirect.hf.org

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.

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1144660424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313585",
            "telephone_number": "321-434-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402239",
            "country_code": "US",
            "telephone_number": "321-434-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313577",
            "country_code": "US",
            "telephone_number": "321-434-8777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "JOSE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107281",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120461300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NV683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.