Individual provider Active NPI

Cesar Augusto Pastrana Jr., PA-C

  • Physician Assistant
  • Weston, FL
National Provider Identifier
1689314643
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAT9115237 Issued in FL
Practice address
1855 N Corporate Lakes Blvd Ste 2
Weston, FL 33326-3274
Phone
(754) 837-8880
NPI assigned
Mar 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 PAT9115237 FL Primary

Addresses

Primary practice location

1855 N Corporate Lakes Blvd Ste 2
Weston, FL 33326-3274

Mailing address

3495 W 10TH Ave Apt 302
Hialeah, FL 33012-5149
Phone (954) 310-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003595 FL Practitioner - Physician Assistant 7618350471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Miami Medical College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10081 W Oakland Park Blvd
Unit 1
Sunrise, FL 33351-6919
Phone (954) 579-6858

12555 Biscayne Blvd C
North Miami, FL 33181-2522
Phone (305) 379-4442

16735 NW 67TH Ave
Suite 102
Hialeah, FL 33015-4201
Phone (305) 557-4556

1770 NE Miami Gardens Dr
N Miami Beach, FL 33179-5301
Phone (305) 949-4141

195 N Federal Hwy
Suite B
Ft Lauderdale, FL 33301-1110
Phone (954) 281-9947

2310 Biscayne Blvd
Miami, FL 33137-4514
Phone (786) 579-1222

2502 N State Rd
Suite 7
Hollywood, FL 33021-3205
Phone (954) 894-7955

2571 S University Dr
Davie, FL 33324-5845
Phone (561) 420-8555

415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5528
Phone (954) 457-4333

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

4640 W Commercial Blvd
Tamarac, FL 33319-3314
Phone (954) 425-9449

5216 N Federal Hwy
Ft. Lauderdale, FL 33308-3202
Phone (954) 958-5858

5817 N University Dr
Tamarac, FL 33321-4633
Phone (954) 720-1111

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone (561) 622-2442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAT9115237FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jun 19, 2023 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1689314643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 W 10TH AVE APT 302",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125149",
            "telephone_number": "954-310-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N CORPORATE LAKES BLVD STE 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263274",
            "telephone_number": "754-837-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA",
        "first_name": "CESAR",
        "middle_name": "AUGUSTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9115237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.