Active NPI
Jose A De Leon Jr., LSA
- Surgical Assistant
- Laredo, TX
National Provider Identifier
1407213812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00819
- Practice address
- 2807 Don Sergio
Laredo, TX 78045-6532 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Jan 15, 2016
- Last updated
- Feb 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 163170 | TX | |
| Surgical Assistant | 246ZC0007X | SA00819 | TX | Primary |
Addresses
Primary practice location
2807 Don Sergio
Laredo, TX 78045-6532
Mailing address
2807 Don Sergio
Laredo, TX 78045-6532
Phone (956) 898-2608
Other practice location 1
10700 McPherson Rd
Laredo, TX 78045-6268
Phone (956) 523-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163170 | TX | MD | Surgical Assistant |
| SA00819 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTX Assistants LLC | Surgical Assistant | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgical Assistant
- Laredo, TX
- NPI 1518772615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1407213812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 DON SERGIO",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456532",
"telephone_number": "956-898-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 DON SERGIO",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456532",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [
{
"address_1": "10700 McPherson Rd",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780456268",
"country_code": "US",
"telephone_number": "956-523-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LEON",
"first_name": "JOSE",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-15",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "163170",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.