Active NPI
Alondra Ortiz de Jesus, PA-C
- Medical Physician Assistant
- Deltona, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9119050
- Practice address
- 1200 Deltona Blvd Apt 40a
Deltona, FL 32725-6386 - Phone
- (386) 202-6025
- NPI assigned
- Jul 31, 2024
- Last updated
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9119050 | FL | Primary |
Addresses
Primary practice location
1200 Deltona Blvd Apt 40a
Deltona, FL 32725-6386
Mailing address
1217 Southerly Parc LN Apt 7109
Orange City, FL 32763-8071
Phone (786) 266-8850
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- San Juan Bautista School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320
1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055
1270 Palm Coast Pkwy NW
Adventhealth Centra Care Palm Coast
Palm Coast, FL 32137-4738
Phone (407) 200-2300
1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074
2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010
440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000
5851 State Hwy 100 E a
Adventist Health Centra Care Palm Coast Sem
Palm Coast, FL 32164-2448
Phone (386) 246-8130
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Florida Health Services, Inc. | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Current | Accepting new patients | |
| Northeast Florida Health Services Inc | Current | Accepting new patients | |
| Adventist Health System/Sunbelt, Inc. | Current | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
1205 S Woodland Blvd
Ste 3
Deland, FL 32720
1200 Deltona Blvd
Apt 40A
Deltona, FL 32725
Phone (386) 327-6006
2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353
216 Frederick St
Pierson, FL 32180
Phone (386) 749-9449
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.
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
dba Family Health Source
- Federally Qualified Health Center (FQHC)
- Pierson, FL
- NPI 1992792311
-
dba AdventHealth Centra Care - Southern Trace
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
-
dba AdventHealth Centra Care - Sanford
- Urgent Care Clinic/Center
- Sanford, FL
- NPI 1437346442
-
dba Family Health Source
- Federally Qualified Health Center (FQHC)
- Deltona, FL
- NPI 1427605534
-
dba Family Health Source
- Dental Clinic/Center
- Deltona, FL
- NPI 1164196861
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1740019371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 SOUTHERLY PARC LN APT 7109",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638071",
"telephone_number": "786-266-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 DELTONA BLVD APT 40A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327256386",
"telephone_number": "386-202-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ DE JESUS",
"first_name": "ALONDRA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9119050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.