NPIMap

Organization Active NPI

I Am Healthy, LLC

  • Family Medicine Physician
  • Apopka, FL
National Provider Identifier
1548700115
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87564 Issued in FL
Legal business name
I AM HEALTHY, LLC
Practice address
201 N Park Ave Ste 201
Apopka, FL 32703-4147
Phone
(407) 814-2680
Fax
(407) 814-2068
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Jason Lamont Salagubang, M.D.
Title
D.O./Owner
Phone
(407) 814-2680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME87564 FL Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X ME 87564 FL

Addresses

Primary practice location

201 N Park Ave Ste 201
Apopka, FL 32703-4147

Mailing address

201 N Park Ave Ste 201
Apopka, FL 32703-4147
Phone (407) 814-2680

Other identifiers 1

IdentifierTypeStateIssuer
BS8275794OtherFLCONTROLLED SUBSTANCE REGISTRATION CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180319001465 FL Part B Supplier - Clinic/Group Practice 2163784737 Receives reassigned benefits from 12 practitioners
Practice locations: Apopka, FL

National Provider Directory

National Provider Directory

Locations

201 N Park Ave
Ste 201
Apopka, FL 32703
Phone (407) 814-2680

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1548700115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE STE 201",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-814-2680",
            "fax_number": "407-814-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE STE 201",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-814-2680",
            "fax_number": "407-814-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM HEALTHY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SALAGUBANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "D.O./OWNER",
        "authorized_official_telephone_number": "407-814-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87564",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME 87564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE",
            "identifier": "BS8275794",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.