Individual provider Active NPI

Ashley Gordillo, PA-C

  • Physician Assistant
  • Royal Palm Beach, FL
National Provider Identifier
1992376065
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113548 Issued in FL
Practice address
11041 Southern Blvd Ste 106
Royal Palm Beach, FL 33411-4242
Phone
(347) 738-1762
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 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 PA9113548 FL Primary

Addresses

Primary practice location

11041 Southern Blvd Ste 106
Royal Palm Beach, FL 33411-4242

Mailing address

3681 Miramontes Cir
Wellington, FL 33414-8824
Phone (347) 738-1762

Other names 1

  • Ashley Santamaria Former name

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2321 Kentucky St
West Palm Beach, FL 33406-4448

3681 Miramontes Cir
Wellington, FL 33414-8824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9113548FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1992376065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 MIRAMONTES CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148824",
            "telephone_number": "347-738-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 SOUTHERN BLVD STE 106",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114242",
            "telephone_number": "347-738-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDILLO",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SANTAMARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.