Active NPI
Jessika Gil-Pineda, MD
- Family Medicine Physician
- Daytona Beach, FL
National Provider Identifier
1265658744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ACN391
- Practice address
- 1300 Red John Dr
Daytona Beach, FL 32124-1075 - Phone
- (386) 254-1547
- Fax
- (386) 947-1657
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ACN391 | FL | Primary |
Addresses
Primary practice location
1300 Red John Dr
Daytona Beach, FL 32124-1075
Mailing address
1300 Red John Dr
Daytona Beach, FL 32124-1075
Phone (386) 254-1547
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4188 | Other | PR | AMERICAN HELTH MEDICARE |
| 7030000 | Other | PR | HUMANA REFORMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN391 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1265658744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 RED JOHN DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321241075",
"telephone_number": "386-254-1547",
"fax_number": "386-947-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 RED JOHN DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321241075",
"telephone_number": "386-254-1547",
"fax_number": "386-947-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIL-PINEDA",
"first_name": "JESSIKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HELTH MEDICARE",
"identifier": "4188",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA REFORMA",
"identifier": "7030000",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.