Active NPI
Alex Garrido-Zambrano, M.D.
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62998
- Practice address
- 14100 58TH St N
Clearwater, FL 33760-9900 - Phone
- (727) 824-8181
- NPI assigned
- Jul 11, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11014175A | IN | |
| Family Medicine Physician | 207Q00000X | 036130699 | IL | |
| Family Medicine Physician | 207Q00000X | 62998 | TN | Primary |
Addresses
Primary practice location
14100 58TH St N
Clearwater, FL 33760-9900
Mailing address
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370966854002 | Medicaid | IL | |
| 036130699 | Medicaid | IL | |
| 370966854004 | Medicaid | IL | |
| Q067710 | Medicaid | TN | |
| 370966854005 | Medicaid | IL | |
| CF3444 | Other | IL | MEDICARE RR |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
5523 Roosevelt Blvd
Clearwater, FL 33760-3425
Phone (727) 824-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014175A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Pinellas Inc | Family Medicine | Current | Accepting new patients |
| Community Health Center of Pinellas Inc | Family Medicine | Current | Accepting new patients |
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Family Medicine | Past | Accepting new patients |
| Housecall Primary Care, PLLC | Past | Accepting new patients | |
| Shawnee Health Service and Development Corp | Family Medicine | Past | Accepting new patients |
| Shawnee Health Service and Development Corp | Family Medicine | Past | Accepting new patients |
Locations
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
5523 Roosevelt Blvd
Clearwater, FL 33760
14100 58th St N
Clearwater, FL 33760
9064 NW 13th Ter
Doral, FL 33172
Phone (305) 801-6989
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Pinellas Park, FL
- NPI 1811975535
Family Medicine
-
- Pharmacy
- Clearwater, FL
- NPI 1467273383
-
- Internal Medicine Physician
- Maryville, TN
- NPI 1578956710
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1073745345
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1811928732
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1881624161
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1720242480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181",
"fax_number": "727-895-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRIDO-ZAMBRANO",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11014175A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036130699",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "62998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854002",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036130699",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854004",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q067710",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854005",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CF3444",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.