NPIMap

Organization Active NPI

First Assist Surgical Associates

  • Nurse Practitioner
  • Los Gatos, CA
National Provider Identifier
1093009482
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
257522-4568 Issued in CA
Legal business name
FIRST ASSIST SURGICAL ASSOCIATES
Practice address
221 Brooke Acres Dr
Los Gatos, CA 95032-6462
Phone
(408) 656-9049
Fax
(408) 879-6204
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Kirsten DugginsNPI 1265497630
Title
Owner
Phone
(408) 656-9049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X CA
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X CA
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X CA
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X CA
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 257522-4568 CA Primary

Addresses

Primary practice location

221 Brooke Acres Dr
Los Gatos, CA 95032-6462

Mailing address

405 Sunol St
San Jose, CA 95126-3750
Phone (408) 656-9049

National Provider Directory

National Provider Directory

Locations

405 Sunol St
San Jose, CA 95126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1093009482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SUNOL ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263750",
            "telephone_number": "408-656-9049",
            "fax_number": "408-879-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROOKE ACRES DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950326462",
            "telephone_number": "408-656-9049",
            "fax_number": "408-879-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ASSIST SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "DUGGINS",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-656-9049"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "257522-4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.