Active NPI
Kimberly Ferrante California, PA-C
- Physician Assistant
- Lauderdale Lakes, FL
National Provider Identifier
1760954812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1585 - Phone
- (954) 735-6000
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1585
Mailing address
624 SW 9TH St
Fort Lauderdale, FL 33315-3832
Phone (954) 701-8907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1760954812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 SW 9TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333153832",
"telephone_number": "954-701-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W OAKLAND PARK BLVD",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333131585",
"telephone_number": "954-735-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALIFORNIA",
"first_name": "KIMBERLY",
"middle_name": "FERRANTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.