Individual provider Active NPI

Valentine Sanon, PA-C

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1326398009
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106719 Issued in FL
Practice address
5211 NE 2ND Ave
Miami, FL 33137-2705
Phone
(305) 751-1293
Fax
(305) 758-4855
NPI assigned
Sep 11, 2012
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9106719 FL Primary

Addresses

Primary practice location

5211 NE 2ND Ave
Miami, FL 33137-2705

Mailing address

5211 NE 2ND Ave
Miami, FL 33137-2705
Phone (305) 751-1293

Other identifiers 1

IdentifierTypeStateIssuer
1045788MedicaidFL

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
I20160322002010 FL Practitioner - Physician Assistant 0042480220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5211 NE 2 Ave
Miami, FL 33137-2705
Phone (305) 751-1293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9106719FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Available Care Physicians, Inc PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1326398009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372705",
            "telephone_number": "305-751-1293",
            "fax_number": "305-758-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372705",
            "telephone_number": "305-751-1293",
            "fax_number": "305-758-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANON",
        "first_name": "VALENTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.