Individual provider Active NPI

Alondra Ortiz de Jesus, PA-C

  • Medical Physician Assistant
  • Deltona, FL
National Provider Identifier
1740019371
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9119050 Issued in FL
Practice address
1200 Deltona Blvd Apt 40a
Deltona, FL 32725-6386
Phone
(386) 202-6025
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004900 FL Practitioner - Physician Assistant 8224579206 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Northeast Florida Health Services, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Jul 30, 2025 Accepting new patients
Northeast Florida Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health System/Sunbelt, Inc. CurrentSince Jul 30, 2025 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.

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": "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

Verify at the official NPI Registry.