Active NPI
Monica Faltas
- Surgical Physician Assistant
- Clearwater, FL
National Provider Identifier
1295562544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 9119862
- Practice address
- 4625 E Bay Dr Ste 222
Clearwater, FL 33764-6867 - Phone
- (727) 288-9988
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9119862 | FL | Primary |
Addresses
Primary practice location
4625 E Bay Dr Ste 222
Clearwater, FL 33764-6867
Mailing address
2443 Hibiscus Bay LN
Brandon, FL 33511-1201
Phone (615) 719-4263
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9119862 | FL | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1295562544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2443 HIBISCUS BAY LN",
"city": "BRANDON",
"state": "FL",
"postal_code": "335111201",
"telephone_number": "615-719-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 E BAY DR STE 222",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337646867",
"telephone_number": "727-288-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALTAS",
"first_name": "MONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "9119862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.