Individual provider Active NPI

Marcos Jefferson Gomes Sarmento, SA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1619698230
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TPPA1224 Issued in FL
Practice address
1431 Clarks Summit CT
Orlando, FL 32828-6602
Phone
(321) 504-1000
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X TPPA1224 FL Primary
Medical Physician Assistant 363AM0700X 2747 PR
Surgical Assistant 246ZC0007X 21-221 WI

Addresses

Primary practice location

1431 Clarks Summit CT
Orlando, FL 32828-6602

Mailing address

1431 Clarks Summit CT
Orlando, FL 32828-6602
Phone (321) 504-1000

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
21-221WIMDSurgical Assistant
TPPA1224FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1619698230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CLARKS SUMMIT CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286602",
            "telephone_number": "321-504-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CLARKS SUMMIT CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286602",
            "telephone_number": "321-504-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES SARMENTO",
        "first_name": "MARCOS",
        "middle_name": "JEFFERSON",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA1224",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2747",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "21-221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.