Individual provider Active NPI

Robert Edgardo Vargas Vizcaya

  • Surgical Assistant
  • Falls Church, VA
National Provider Identifier
1083427397
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
0136000746 Issued in VA
Practice address
5601 Seminary Rd
Falls Church, VA 22041-3530
Phone
(614) 928-0409
NPI assigned
Jan 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA2000005 DC
Surgical Physician Assistant 363AS0400X
Surgical Assistant 246ZC0007X 0136000746 VA Primary

Addresses

Primary practice location

5601 Seminary Rd
Falls Church, VA 22041-3530

Mailing address

5601 Seminary Rd
Falls Church, VA 22041-3530
Phone (614) 928-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA2000005DCMDSurgical Assistant
0136000746VAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1083427397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SEMINARY RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413530",
            "telephone_number": "614-928-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SEMINARY RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413530",
            "telephone_number": "614-928-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS VIZCAYA",
        "first_name": "ROBERT",
        "middle_name": "EDGARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA2000005",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.