Individual provider Active NPI

Amna Bakali, PA-C

  • Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1386514354
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9121159 Issued in FL
Practice address
17235 SW 13TH St
Pembroke Pines, FL 33029-4812
Phone
(305) 332-1269
NPI assigned
Nov 6, 2025
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 9121159 FL Primary

Addresses

Primary practice location

17235 SW 13TH St
Pembroke Pines, FL 33029-4812

Mailing address

17235 SW 13TH St
Pembroke Pines, FL 33029-4812
Phone (305) 332-1269

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

LicenseStateTypeSpecialty
9121159FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1386514354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17235 SW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294812",
            "telephone_number": "305-332-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 SW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294812",
            "telephone_number": "305-332-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALI",
        "first_name": "AMNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9121159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.