Individual provider Active NPI

Santa Emilia Guerra, PA-C

  • Physician Assistant
  • Ellenton, FL
National Provider Identifier
1710121678
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104920 Issued in FL
Practice address
7915 US Highway 301 N Ste 107
Ellenton, FL 34222-3532
Phone
(941) 847-1101
Fax
(941) 417-2811
NPI assigned
Apr 22, 2009
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 PA9104920 FL Primary

Addresses

Primary practice location

7915 US Highway 301 N Ste 107
Ellenton, FL 34222-3532

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

Other names 1

  • Miss Santa Emilia De Oliveria Former name

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
I20090602000666 FL Practitioner - Physician Assistant 4284784828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

701 Manatee Ave W
Suite 101
Bradenton, FL 34205-8624
Phone (941) 748-3065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists, LLC CurrentSince Apr 30, 2018 Accepting new patients
Florida Medical Specialists LLC CurrentSince Apr 30, 2018 Accepting new patients
Kreider Chiropractic Inc Past Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

7915 US Highway 301 N
Ste 107
Ellenton, FL 34222
Phone (941) 847-1101

1250 S Tamiami Trl
Ste 300
Sarasota, FL 34239
Phone (941) 955-0229

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

5831 Bee Ridge Rd
Ste 210
Sarasota, FL 34233
Phone (941) 379-8481

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1710121678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 US HIGHWAY 301 N STE 107",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223532",
            "telephone_number": "941-847-1101",
            "fax_number": "941-417-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "SANTA",
        "middle_name": "EMILIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANTA",
            "last_name": "DE OLIVERIA",
            "middle_name": "EMILIA",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellenton, FL

Sources for this page

Verify at the official NPI Registry.