Individual provider Active NPI

Amanda Cali, PA-C

  • Physician Assistant
  • Altamonte Springs, FL
National Provider Identifier
1790283208
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110971 Issued in FL
Practice address
661 E Altamonte Dr Ste 220
Altamonte Springs, FL 32701-5102
Phone
(407) 303-5191
Fax
(407) 303-5193
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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 PAX000014274 FL
Physician Assistant 363A00000X PA9110971 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr Ste 220
Altamonte Springs, FL 32701-5102

Mailing address

661 E Altamonte Dr Ste 220
Altamonte Springs, FL 32701-5102
Phone (407) 303-5191

Other names 1

  • N/a N/a N/a Other name

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
I20190618000763 FL Practitioner - Physician Assistant 4981937349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

661 E Altamonte Dr
Altamonte Springs, FL 32701-5102

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAX000014274FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Jul 8, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 8, 2019 Accepting new patients

Locations

661 E Altamonte Dr
Ste 220
Altamonte Springs, FL 32701
Phone (407) 303-5191

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: acali68049@adventhealth.direct-ci.com

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.

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1790283208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-303-5191",
            "fax_number": "407-303-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-303-5191",
            "fax_number": "407-303-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALI",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAX000014274",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.