Individual provider Active NPI

Jasline Fernandez, PA-C

  • Physician Assistant
  • Tamarac, FL
National Provider Identifier
1912668773
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118163 Issued in FL
Practice address
7421 N University Dr Ste 206
Tamarac, FL 33321-2953
Phone
(954) 724-7410
Fax
(954) 724-7412
NPI assigned
Jan 4, 2022
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118163 FL Primary

Addresses

Primary practice location

7421 N University Dr Ste 206
Tamarac, FL 33321-2953

Mailing address

7421 N University Dr Ste 206
Tamarac, FL 33321-2953
Phone (954) 724-7410

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
I20260515003514 FL Practitioner - Physician Assistant 2668941808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osvaldo a Torres MD LLCGroup PAC ID 1557512902, 5 clinicians

Practice addresses (Care Compare)

7421 N University Dr
Sutie 206
Tamarac, FL 33321-2953
Phone (954) 724-7410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9118163FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osvaldo a Torres MD LLC CurrentSince Apr 6, 2026 Accepting new patients

Locations

7421 N University Dr
Ste 206
Tamarac, FL 33321
Phone (954) 724-7410

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1912668773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR STE 206",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212953",
            "telephone_number": "954-724-7410",
            "fax_number": "954-724-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR STE 206",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212953",
            "telephone_number": "954-724-7410",
            "fax_number": "954-724-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JASLINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.