Individual provider Active NPI

Arlene Serrano Quijano, PA

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1194011064
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone
(305) 703-3306
Fax
(866) 598-3382
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Physician Assistant 363A00000X PA9105639 FL
Medical Physician Assistant 363AM0700X 0110004640 VA

Addresses

Primary practice location

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Mailing address

2421 Dunhill Ave
Miramar, FL 33025-3813
Phone (954) 439-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250903003320 VA Practitioner - Physician Assistant 3072758929 Reassigns benefits to 2 organizations
I20251031000039 FL Practitioner - Physician Assistant 3072758929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Miami Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8401 Mayland Dr
Suite 6717
Richmond, VA 23294-4648
Phone (571) 208-2811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110004640VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Jun 20, 2025 Accepting new patients
Asq Health & Counseling, LLC CurrentSince Oct 13, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Jun 20, 2025 Accepting new patients
Asq Health Institute Professional LLC CurrentSince Sep 15, 2025 Accepting new patients
Mesk Medical Group Physician Assistant Past Accepting new patients
Aderis Health Technologies Physician Assistant Past Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

8401 Mayland Dr
Ste 6717
Richmond, VA 23294
Phone (571) 208-2811

2 Pidgeon Hill Dr
Ste 400
Sterling, VA 20165
Phone (703) 430-7090

Organizations & group practices 6

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1194011064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 DUNHILL AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253813",
            "telephone_number": "954-439-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "305-703-3306",
            "fax_number": "866-598-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIJANO",
        "first_name": "ARLENE",
        "middle_name": "SERRANO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105639",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.