Risha Lisa Bellomo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101292 Issued in FL

Practice address

2504 S Alafaya TRL Ste 310
Orlando, FL 32828-7977

Phone

(407) 505-9951

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Risha Lisa King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1801904610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 TURKEY ISLAND CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879481",
            "telephone_number": "407-766-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 S ALAFAYA TRL STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287977",
            "telephone_number": "407-505-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2868 S Alafaya Trl Ste 130",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328287967",
            "country_code": "US",
            "telephone_number": "407-770-0063",
            "fax_number": "407-770-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLOMO",
        "first_name": "RISHA",
        "middle_name": "LISA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290445400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISHA",
            "last_name": "KING",
            "middle_name": "LISA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill Brightman Bello, LCSW
• Yorley Joselin Bello
• Bellomo Chiropractic Life Center P.a.
• Ivonne Bellomo, COTA/L
• John Bellomo
• Eva J Bellon, M.D,
• Daniel Belnap, CAA
• Ramses Belone
• Ismael Abiera Beloso II, D.O.
• Aleksei Kirillovich Belousov, M.D.

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.