Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Tasha Al-Jarboua, PA-C

Individual provider Addiction Psychiatry Physician · NPI 1588078000

La Tasha Al-Jarboua, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2012, 14 years ago. Practices with Gateway Community Health Centers, Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Florida and North Carolina.

Years since qualifying
14
Licensed in
CA, FL, NC
In the registry since
2014
Specialties on file
7
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9800 4th St N Ste 200
St Petersburg, FL 33702-2462
Phone: (833) 399-0957
Fax: (727) 335-1174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Main St, Gatesville, NC 27938-9424 — (252) 357-1226

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 54234 (CA)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 0010-04854 (NC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 0010-04854 (NC)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 54234 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-04854 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 54234 (CA)
Physician Assistant Taxonomy 363A00000X (FL)

Record details

NPI number1588078000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gateway Community Health Centers, Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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