Individual provider Active NPI

Alesnay Aguilar Simon, LSA

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1114477668
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00659 Issued in TX
Practice address
10300 Harwin Dr
Apt 1226
Houston, TX 77036-1500
Phone
(346) 276-7391
NPI assigned
Oct 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00659 TX Primary

Addresses

Primary practice location

10300 Harwin Dr
Apt 1226
Houston, TX 77036-1500

Mailing address

10300 Harwin Dr
Apt 1226
Houston, TX 77036-1500
Phone (346) 276-7391

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
SA00659TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1114477668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 HARWIN DR",
            "address_2": "APT 1226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361500",
            "telephone_number": "346-276-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HARWIN DR",
            "address_2": "APT 1226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361500",
            "telephone_number": "346-276-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR SIMON",
        "first_name": "ALESNAY",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-08",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.