Active NPI
De la Selva First Assist,LLC
- Surgical Assistant
- Pompano Beach, FL
National Provider Identifier
1477201804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- DE LA SELVA FIRST ASSIST,LLC
- Practice address
- 4611 N Federal Hwy Apt 221
Pompano Beach, FL 33064-6669 - Phone
- (210) 685-7023
- NPI assigned
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna De la Selva McMillian, CSFA
- Title
- Csfa
- Phone
- (210) 685-7023
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
4611 N Federal Hwy Apt 221
Pompano Beach, FL 33064-6669
Mailing address
4611 N Federal Hwy Apt 221
Pompano Beach, FL 33064-6669
Phone (210) 685-7023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-254-044-66-926-0 | Other | FL | FLORIDA DRIVERS LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Assistant
- Pompano Beach, FL
- NPI 1689325136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1477201804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 N FEDERAL HWY APT 221",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330646669",
"telephone_number": "210-685-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 N FEDERAL HWY APT 221",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330646669",
"telephone_number": "210-685-7023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE LA SELVA FIRST ASSIST,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "MCMILLIAN",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "DE LA SELVA",
"authorized_official_title_or_position": "CSFA",
"authorized_official_telephone_number": "210-685-7023",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DRIVERS LICENSE",
"identifier": "M-254-044-66-926-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.