Organization Active NPI

Siordia Surgical Assisting

  • Surgical Physician Assistant
  • Rio Rancho, NM
National Provider Identifier
1346964178
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SIORDIA SURGICAL ASSISTING
Practice address
2319 Vista de Colinas Dr SE
Rio Rancho, NM 87124-2949
Phone
(505) 304-5165
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mrs. Corina Siordia, SA-CNPI 1730809187
Title
Surgical Assistant Certified
Phone
(505) 304-5165

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2319 Vista de Colinas Dr SE
Rio Rancho, NM 87124-2949

Mailing address

2319 Vista de Colinas Dr SE
Rio Rancho, NM 87124-2949
Phone (505) 304-5165

National Provider Directory

National Provider Directory

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": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1346964178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 VISTA DE COLINAS DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242949",
            "telephone_number": "505-304-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 VISTA DE COLINAS DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242949",
            "telephone_number": "505-304-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIORDIA SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "SIORDIA",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT CERTIFIED",
        "authorized_official_telephone_number": "505-304-5165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

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