Individual provider Active NPI

Christina L Palino, P.A.

  • Medical Physician Assistant
  • Aventura, FL
National Provider Identifier
1962433300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102152 Issued in FL
Practice address
20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone
(305) 933-8433
Fax
(305) 933-9115
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102152 FL Primary

Addresses

Primary practice location

20814 W Dixie Hwy
Aventura, FL 33180-1147

Mailing address

20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone (305) 933-8433

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
I20061215000215 FL Practitioner - Physician Assistant 7214936442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edelstein and Bustamante MDS PAGroup PAC ID 4789630773, 8 clinicians

Practice addresses (Care Compare)

160 NW 170TH St
Miami, FL 33169-5521
Phone (305) 651-1100

20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone (305) 933-8433

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000

National Provider Directory

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

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962433300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433",
            "fax_number": "305-933-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433",
            "fax_number": "305-933-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALINO",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.