Individual provider Active NPI

Jose M Almanzar, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1164569125
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3284 Issued in FL
Practice address
3164 Palm Beach Blvd Ste 104-D
Fort Myers, FL 33916-1579
Phone
(239) 590-8399
Fax
(239) 264-4982
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3284 FL
Surgical Physician Assistant 363AS0400X 3284 FL
Physician Assistant 363A00000X PA3284 FL Primary

Addresses

Primary practice location

3164 Palm Beach Blvd Ste 104-D
Fort Myers, FL 33916-1579

Mailing address

3164 Palm Beach Blvd Ste 104-D
Fort Myers, FL 33916-1579
Phone (239) 590-8399

Other practice location 1

1713 SW Health Pkwy Ste 1
Naples, FL 34109
Phone (239) 597-8000

Other identifiers 1

IdentifierTypeStateIssuer
292748900MedicaidFL

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
I20050309000154 FL Practitioner - Physician Assistant 7113971508 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3284FLMDPhysician Assistant
3284FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Nov 9, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 9, 2020 Accepting new patients
Oasis Urgent Care, PLLC Physician Assistant CurrentSince Jan 1, 2022 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Alta Health Group LLC PastSince Aug 29, 2018 Accepting new patients
Leeland ER SVCS Partnership LLC Past Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Oceanwind ER SVCS Partnership LLC Past Accepting new patients

Locations

3164 Palm Beach Blvd
Fort Myers, FL 33916
Phone (239) 285-6649

3164 Palm Beach Blvd
Ste 104D
Fort Myers, FL 33916
Phone (239) 590-8399

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

7385 Radio Rd
Ste 104D
Naples, FL 34104
Phone (239) 434-6000

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Naples Urgent Care PL 2 clinicians

Practice addresses (Care Compare)

1713 SW Health Pkwy
Suite 2
Naples, FL 34109-0502
Phone (239) 597-8000

3164 Palm Beach Blvd
Fort Myers, FL 33916-1579
Phone (239) 434-6000

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1164569125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 PALM BEACH BLVD STE 104-D",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161579",
            "telephone_number": "239-590-8399",
            "fax_number": "239-264-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 PALM BEACH BLVD STE 104-D",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161579",
            "telephone_number": "239-590-8399",
            "fax_number": "239-264-4982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 SW Health Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "34109",
            "country_code": "US",
            "telephone_number": "239-597-8000",
            "fax_number": "239-316-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMANZAR",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "3284",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "3284",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292748900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.