Samuel Loera Diaz, SURGICAL ASSISTANT

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

1143 Clonmore CT
Conroe, TX 77304-4016

Phone

(909) 254-3276

NPI assigned

Mar 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpha Surgical Assistants LLC

  • Surgical Assistant
  • Conroe, TX
  • NPI 1578159083
  NPD Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1245798602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 CLONMORE CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044016",
            "telephone_number": "909-254-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 CLONMORE CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044016",
            "telephone_number": "909-254-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOERA DIAZ",
        "first_name": "SAMUEL",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase M Lindsay, DDS
• Parker Aaron Linscomb
• Sarah Faye Linton, COTA
• Justin William Liska, D.D.S.
• LNC Health Services Inc
• London Surgical Services,LLC
• Nicole R Londow
• Lone Star Community Health Center, Inc.
• Lone Star Community Health Center, Inc.
• Lone Star Community Health Center, Inc.

• Surgical Assistant in Conroe, TX
• Providers in Conroe, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.