Individual provider Active NPI

Jessica M Vigoa, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1922471903
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9035 Sunset Dr
Suite 202
Miami, FL 33173-3484
Phone
(305) 279-3366
Fax
(305) 271-3355
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X PA9109186 FL
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9035 Sunset Dr
Suite 202
Miami, FL 33173-3484

Mailing address

11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808

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
I20160405000163 FL Practitioner - Physician Assistant 7719284850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates of South Florida PAGroup PAC ID 2365340908, 25 clinicians

Practice addresses (Care Compare)

14411 S Dixie Hwy 223
Florida Center for Allergy and Asthma Care
Palmetto Bay, FL 33176-7900
Phone (305) 255-4868

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1250
Phone (305) 932-3252

350 NW 84TH Ave
205 Florida Center for Allergy and Asthma Car
Plantation, FL 33324-1859
Phone (954) 472-4848

7150 W 20TH Ave
106 Florida Center for Allergy and Asthma Car
Hialeah, FL 33016-5509
Phone (305) 362-7762

9035 Sunset Dr
Suite 202
Miami, FL 33173-3451
Phone (305) 279-3366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1922471903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-223-8808",
            "fax_number": "305-223-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 SUNSET DR",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733484",
            "telephone_number": "305-279-3366",
            "fax_number": "305-271-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGOA",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "PA9109186",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.