Individual provider Active NPI

Pedro L Salcedo, PA

  • Surgical Physician Assistant
  • Jensen Beach, FL
National Provider Identifier
1154376218
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102068 Issued in FL
Practice address
4243 NW Federal Hwy
Jensen Beach, FL 34957-3600
Phone
(800) 735-1178
Fax
(772) 223-6354
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102068 FL Primary

Addresses

Primary practice location

4243 NW Federal Hwy
Jensen Beach, FL 34957-3600

Mailing address

2885 SW Lakemont PL
Palm City, FL 34990-6096
Phone (305) 794-2939

Other practice location 1

7540 NW 5th St Ste 1
Plantation, FL 33317-1615
Phone (800) 735-1178

Other practice location 2

1051 Port Malabar Blvd NE Ste 6-7
Palm Bay, FL 32905-5153
Phone (800) 735-1178

Other practice location 3

130 John F Kennedy Dr Ste 138
Atlantis, FL 33462-6631
Phone (800) 735-1178

Other practice location 4

1801 S 23rd St Ste 1
Fort Pierce, FL 34950-4830
Phone (800) 735-1178

Other practice location 5

3727 N Goldenrod Rd Ste 103
Winter Park, FL 32792-8611
Phone (800) 735-1178

Other practice location 6

2800 S Osceola Ave
Orlando, FL 32806-5419
Phone (800) 735-1178

Other identifiers 2

IdentifierTypeStateIssuer
Y09F9OtherFLBCBS
111953100MedicaidFL

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
I20061121000670 FL Practitioner - Physician Assistant 1658275888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Partners Network LLCGroup PAC ID 2062601016, 7 clinicians

Practice addresses (Care Compare)

4243 NW Federal Hwy
Jensen Beach, FL 34957-3600
Phone 80073511781001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9102068FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Partners Network LLC Surgical CurrentSince Mar 1, 2020 Accepting new patients
All Partners Network LLC Surgical CurrentSince Mar 1, 2020 Accepting new patients
All Partners Network LLC Surgical PastSince Jan 14, 2024 Accepting new patients
Pain and Rehabilitation Physicians of Palm Beach Inc Past Accepting new patients

Locations

130 John F Kennedy Dr
Ste 138
Atlantis, FL 33462

1801 S 23rd St
Ste 1
Fort Pierce, FL 34950
Phone (772) 460-6199

4243 NW Federal Hwy
Jensen Beach, FL 34957
Phone 80073511781021

2800 S Osceola Ave
Orlando, FL 32806
Phone (407) 839-3834

1051 Port Malabar Blvd NE
Ste 67
Palm Bay, FL 32905

7540 NW 5th St
Ste 1
Plantation, FL 33317

3727 N Goldenrod Rd
Ste 103
Winter Park, FL 32792
Phone (407) 673-9533

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1154376218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 SW LAKEMONT PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906096",
            "telephone_number": "305-794-2939",
            "fax_number": "772-223-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573600",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7540 NW 5th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333171615",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Port Malabar Blvd NE Ste 6-7",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329055153",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 John F Kennedy Dr Ste 138",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334626631",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 S 23rd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504830",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 N Goldenrod Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327928611",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S Osceola Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328065419",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "PEDRO",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y09F9",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111953100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

Verify at the official NPI Registry.