Individual provider Active NPI

Joseph Califano II

  • Physician Assistant
  • Champions Gate, FL
National Provider Identifier
1992176028
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9109057 Issued in FL
Practice address
8390 Champions Gate Blvd Ste 306
Champions Gate, FL 33896-8313
Phone
(407) 222-9680
NPI assigned
Oct 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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 PA 9109057 FL Primary

Addresses

Primary practice location

8390 Champions Gate Blvd Ste 306
Champions Gate, FL 33896-8313

Mailing address

8390 Champions Gate Blvd. Suite 306
Champions Gate, FL 33896
Phone (407) 222-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9109057FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Emergency Group, LLC Physician Assistant CurrentSince Nov 1, 2018 Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

Organizations & group practices 2

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1992176028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD. SUITE 306",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "407-222-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 306",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968313",
            "telephone_number": "407-222-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIFANO",
        "first_name": "JOSEPH",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9109057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champions Gate, FL

Sources for this page

Verify at the official NPI Registry.