NPIMap

Organization Active NPI

Jennifer Bernal Cfa. LLC

  • Surgical Assistant
  • San Tan Valley, AZ
National Provider Identifier
1396054888
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
JENNIFER BERNAL CFA. LLC
Practice address
3664 E. Shapinsay Drive
San Tan Valley, AZ 85140
Phone
(480) 209-8526
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Jennifer Bernal, CFANPI 1902120033
Title
Certified First Assisant
Phone
(480) 209-8526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

3664 E. Shapinsay Drive
San Tan Valley, AZ 85140

Mailing address

PO Box 1843
Queen Creek, AZ 85142
Phone (480) 209-8526

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": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1396054888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1843",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-209-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 E. SHAPINSAY DRIVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "480-209-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BERNAL CFA. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CERTIFIED FIRST ASSISANT",
        "authorized_official_telephone_number": "480-209-8526",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.