Organization Active NPI

Scrub in Surgical Assistants LLC.

  • Surgical Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1386269132
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SCRUB IN SURGICAL ASSISTANTS LLC.
Practice address
935 Kokomo Key LN
Delray Beach, FL 33483-6031
Phone
(312) 315-8840
NPI assigned
Jun 8, 2020
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
John Francisco Martinez Jimenez, SA-CNPI 1013456664
Title
Owner
Phone
(312) 315-8840

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary
Surgical Assistant 246ZC0007X

Addresses

Primary practice location

935 Kokomo Key LN
Delray Beach, FL 33483-6031

Mailing address

935 Kokomo Key LN
Delray Beach, FL 33483-6031
Phone (312) 315-8840

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1386269132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 KOKOMO KEY LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836031",
            "telephone_number": "312-315-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 KOKOMO KEY LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836031",
            "telephone_number": "312-315-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRUB IN SURGICAL ASSISTANTS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ JIMENEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-315-8840",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.