Organization Active NPI

De la Selva First Assist,LLC

  • Surgical Assistant
  • Pompano Beach, FL
National Provider Identifier
1477201804
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
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

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Anna De la Selva McMillian, CSFANPI 1689325136
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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
M-254-044-66-926-0OtherFLFLORIDA DRIVERS LICENSE

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.

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.

Verify at the official NPI Registry.