Individual provider Active NPI

Sara Samla, PA-C

  • Physician Assistant
  • Tamarac, FL
National Provider Identifier
1780252791
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114578 Issued in FL
Practice address
7171 N University Dr Ste 300
Tamarac, FL 33321-2902
Phone
(954) 720-3188
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA9114578 FL Primary

Addresses

Primary practice location

7171 N University Dr Ste 300
Tamarac, FL 33321-2902

Mailing address

1055 NW 121St LN
Coral Springs, FL 33071-5006
Phone (954) 790-0754

Other practice location 1

1055 NW 121st Ln
Coral Springs, FL 33071-5006
Phone (954) 790-0754

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
I20211018000885 FL Practitioner - Physician Assistant 6204234537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Pain Care Consultants LLCGroup PAC ID 6608780937, 10 clinicians

Practice addresses (Care Compare)

6000 N Federal Hwy
Ft Lauderdale, FL 33308-2226
Phone (954) 771-2551

7171 N University Dr
Suite 300
Tamarac, FL 33321-2902
Phone (954) 720-3188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114578FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Pain Care Consultants LLC CurrentSince Aug 10, 2022 Accepting new patients

Locations

6000 N Federal Hwy
Ft Lauderdale, FL 33308

499 NW 70th Ave
Ste 200
Plantation, FL 33317
Phone (954) 223-5483

150 SW 12th Ave
Ste 450
Pompano Beach, FL 33069
Phone (954) 941-3369

7171 N University Dr
Ste 300
Tamarac, FL 33321
Phone (954) 720-3188

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1780252791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NW 121ST LN",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715006",
            "telephone_number": "954-790-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N UNIVERSITY DR STE 300",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212902",
            "telephone_number": "954-720-3188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 NW 121st Ln",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330715006",
            "country_code": "US",
            "telephone_number": "954-790-0754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMLA",
        "first_name": "SARA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.