Individual provider Active NPI

Rica Zantua Jester, M.D.

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1841684958
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
135630 Issued in FL
Practice address
17327 Pagonia Rd
Clermont, FL 34711-6009
Phone
(407) 905-6006
Fax
(407) 636-7806
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 135630 FL Primary

Addresses

Primary practice location

17327 Pagonia Rd
Clermont, FL 34711-6009

Mailing address

17327 Pagonia Rd
Clermont, FL 34711-6009
Phone (407) 905-6006

Other names 1

  • Rica Mercedes Zantua Former 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009000621 FL Practitioner - Family Practice 1759696594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

17327 Pagonia Rd
Clermont, FL 34711-6009
Phone (407) 905-6006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135630FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Feb 8, 2022 Accepting new patients

Locations

17327 Pagonia Rd
Clermont, FL 34711
Phone (407) 905-6000

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 1

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 4

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1841684958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 PAGONIA RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116009",
            "telephone_number": "407-905-6006",
            "fax_number": "407-636-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 PAGONIA RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116009",
            "telephone_number": "407-905-6006",
            "fax_number": "407-636-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTER",
        "first_name": "RICA",
        "middle_name": "ZANTUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "135630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICA",
            "last_name": "ZANTUA",
            "middle_name": "MERCEDES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.