Individual provider Active NPI

Christopher George Dastous, PA

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1497308803
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6408 Issued in CT
Practice address
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone
(727) 461-6026
Fax
(727) 461-1492
NPI assigned
Jul 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6408 CT Primary
Physician Assistant 363A00000X 7470 MA
Medical Physician Assistant 363AM0700X 6408 CT

Addresses

Primary practice location

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200604000583 MA Practitioner - Physician Assistant 5890116537 Reassigns benefits to 2 organizations
I20240125001796 CT Practitioner - Physician Assistant 5890116537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7470MAMDPhysician Assistant
6408CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Sep 22, 2025 Accepting new patients
American Current Care of Massachusetts PC CurrentSince Jan 2, 2024 Accepting new patients
Cep America LLC Current Accepting new patients
New England Orthopedic Surgeons Physician Assistant CurrentSince Apr 26, 2020 Accepting new patients
Cep America LLC CurrentSince Sep 22, 2025 Accepting new patients
American Current Care of Massachusetts PC CurrentSince Jan 2, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

140 Carando Dr
Springfield, MA 01104
Phone (413) 746-4006

66B Concord St
Wilmington, MA 01887
Phone (978) 657-3826

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1497308803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370925",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563395",
            "telephone_number": "727-461-6026",
            "fax_number": "727-461-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTOUS",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6408",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "7470",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "6408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.