Individual provider Active NPI

Daniella Alejandra Salas

  • Physician Assistant
  • Chuluota, FL
National Provider Identifier
1194561894
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9118959 Issued in FL
Practice address
443 W County Road 419
Chuluota, FL 32766-9518
Phone
(407) 366-2890
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 9118959 FL Primary

Addresses

Primary practice location

443 W County Road 419
Chuluota, FL 32766-9518

Mailing address

8580 Northlake Pkwy
Orlando, FL 32827-6918
Phone (407) 446-8329

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
I20241016004785 FL Order and Referring Only - Physician Assistant 3577095488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9118959FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
H & H Medical Service PLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

443 W County Road 419
Chuluota, FL 32766
Phone (407) 366-2890

Organizations & group practices 1

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1194561894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 NORTHLAKE PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328276918",
            "telephone_number": "407-446-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 W COUNTY ROAD 419",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327669518",
            "telephone_number": "407-366-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "DANIELLA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9118959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chuluota, FL

Sources for this page

Verify at the official NPI Registry.