NPIMap

Organization Active NPI

Sierra Surgical Assisting

  • Surgical Assistant
  • Reno, NV
National Provider Identifier
1003214909
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
1700 Issued in DC
Legal business name
SIERRA SURGICAL ASSISTING
Practice address
2739 Chavez Dr
Reno, NV 89502-4982
Phone
(775) 250-1564
Fax
(775) 828-0580
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Mr. Michael Jackson, C.S.A.
Title
President
Phone
(775) 250-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X 1700 DC Primary

Addresses

Primary practice location

2739 Chavez Dr
Reno, NV 89502-4982

Mailing address

PO Box 70303
Reno, NV 89570-0303
Phone (775) 250-1564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1003214909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70303",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895700303",
            "telephone_number": "775-250-1564",
            "fax_number": "775-828-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 CHAVEZ DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024982",
            "telephone_number": "775-250-1564",
            "fax_number": "775-828-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-250-1564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.S.A."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.