Jessica Bao

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108104 Issued in FL

Practice address

8025 SW 17TH Ter
Miami, FL 33155-1321

Phone

(305) 877-1798

NPI assigned

Oct 6, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Gastro Health LLC

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1487767133
  Medicare reassignment NPD
• Miami Beach Urgent Care

  • Urgent Care Clinic/Center
  • Miami Beach, FL
  • NPI 1780399576
  Medicare reassignment NPD
• Family Medical Group Kendall, LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1588100127
  Medicare reassignment
• Wedo Medical Center Corp

  • General Practice Physician
  • Miami, FL
  • NPI 1245990019
  Medicare reassignment
• Gastro Health, LLC

  • Gastroenterology Physician
  • Pembroke Pines, FL
  • NPI 1457026932
  NPD

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1922401967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 SW 17TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551321",
            "telephone_number": "305-877-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 SW 17TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551321",
            "telephone_number": "305-877-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banyan Community Health Center, Inc
• Banyan Community Health Center, Inc.
• Banyan Community Health Center, Inc.
• Banyan Health Systems
• Janet Banzo, RBT
• Ronghua Bao, APRN
• Samira Bao
• Yong Bao, MD
• Ferdilia Baptichon
• Baptist Behavioral & Case Management Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.