RAYMUNDO GAMBOA JACINTO PA-C
NPI 1649712274
Physician Assistant - Medical in St Petersburg, FL

Active since November 14, 2016PECOS EnrolledAccepts Medicare Assignment
501 6TH AVE S, ST PETERSBURG, FL 33701(727) 767-3051 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2019, Nov 14, 2016 (2 updates tracked since 2016).

About Raymundo Gamboa Jacinto Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMUNDO GAMBOA JACINTO PA-C (NPI 1649712274) is an individual medical provider in St Petersburg, Florida, licensed in Florida (PA9111727) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649712274
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRAYMUNDO GAMBOA JACINTOCredential: PA-C
Location Address501 6TH AVE SSt Petersburg, FL 33701
Mailing Address501 6th Ave SSt Petersburg, FL 33701-4634 · (727) 767-3051
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 14, 2016
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
NPI 1649712274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in FL · PA9111727 Licensed in PA · MA058757
501 6TH AVE S, St Petersburg, FL 33701

Secondary Practice Location 1

Location 11840 South St, Tuttleman Bldg,2nd FloorPhiladelphia, PA 19146-7411 · Phone (215) 893-7246

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raymundo Gamboa Jacinto Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850672569
PECOS Enrollment IDI20250305000252
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Radiology (Pediatric Radiology)
501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701
Hospitalist
501 6TH AVE S
ST PETERSBURG, FL 33701
Social Worker
501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701
Nurse Practitioner (Pediatrics)
501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Psychologist
501 6TH AVE S
ST PETERSBURG, FL 33701
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymundo Jacinto's NPI number?

The NPI number for Raymundo Jacinto is 1649712274. It was assigned to this individual provider in the NPPES registry on November 14, 2016.

Where is Raymundo Jacinto located?

Raymundo Jacinto practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 767-3051.

What is Raymundo Jacinto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Raymundo Jacinto enrolled in Medicare?

Yes. Raymundo Jacinto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raymundo Jacinto accept?

Health plans from AvMed list Raymundo Jacinto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raymundo Jacinto was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.