Cepjasso

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04389 Issued in TX

Legal business name

CEPJASSO

Practice address

3023 Ivory CRK
San Antonio, TX 78258-1603

Phone

(210) 408-0605

NPI assigned

Sep 10, 2010

Last updated

Sep 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cristobal E Perez, PA-C

Title

Sole Proprietor

Phone

(210) 408-0605

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1407163538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 IVORY CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581603",
            "telephone_number": "210-408-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 IVORY CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581603",
            "telephone_number": "210-408-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEPJASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "210-408-0605",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202342601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Cepeda
• Jennifer Cepeda, OTR, MOT
• Judith Patricia Cepeda, PSYD
• Nikol Cepeda
• Armando Cepedes
• Brittany Cerbone, PHD
• Alyssa Cerda, QMHP-CS
• Gabriela Cerda
• Leticia Arrendondo Cerda, MD
• Miriam Cerda

• Surgical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.