Adrian Pena, C.S.F.A.

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

100265424 Issued in FL

Practice address

1900 Don Wickham Dr
Clermont, FL 34711-1979

Phone

(352) 394-4071

NPI assigned

Mar 13, 2025

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1356141063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 HEMINGWAY CIR",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368492",
            "telephone_number": "352-809-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111979",
            "telephone_number": "352-394-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ADRIAN",
        "credential": "C.S.F.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "100265424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Jessica Lee Pedraza
• Danyella Pellegrino, RBT
• Francis B Pellegrino, MD
• Milagros Pellegrino
• Carlos Alberto Pena, PT
• Jose Luis Penaloza Guevara, DMD
• James Pendarvis
• Pennachio & Fishman M.D., P.a.
• Jaqueline Rocha Pereira

• Surgical Assistant in Clermont, FL
• Providers in Clermont, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.