Active NPI
John Anthony Torres, PA-C
- Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1538203641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102543
- Practice address
- 1995 E Oakland Park Blvd
Suite 250
Fort Lauderdale, FL 33306-1147 - Phone
- (954) 791-6146
- Fax
- (954) 337-2733
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102543 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | PA9102543 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9102543 | FL |
Addresses
Primary practice location
1995 E Oakland Park Blvd
Suite 250
Fort Lauderdale, FL 33306-1147
Mailing address
1995 E Oakland Park Blvd
Suite 250
Fort Lauderdale, FL 33306-1147
Phone (954) 791-6146
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002876700 | Other | FL | GROUP MEDICAID |
| 002615500 | Medicaid | FL | |
| K0493 | Other | GROUP MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102543 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Practitioners, LLC | Past | Accepting new patients | |
| Ap of Nashville, LLC | Surgical | Past | 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.
-
- Registered Nurse First Assistant
- Fort Lauderdale, FL
- NPI 1083230312
-
- Surgical Physician Assistant
- Nashville, TN
- NPI 1174990899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1538203641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 E OAKLAND PARK BLVD",
"address_2": "SUITE 250",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061147",
"telephone_number": "954-791-6146",
"fax_number": "954-337-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E OAKLAND PARK BLVD",
"address_2": "SUITE 250",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061147",
"telephone_number": "954-791-6146",
"fax_number": "954-337-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102543",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102543",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9102543",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "002876700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002615500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "K0493",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.