Active NPI
George Caballero, CSA
- Surgical Assistant
- Melbourne, FL
National Provider Identifier
1558615211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 1600 Sarno Rd Ste 15
Melbourne, FL 32935-4990 - Phone
- (800) 348-4565
- Fax
- (888) 465-6511
- NPI assigned
- Nov 2, 2012
- Sex
- Male
- Sole proprietor
- No
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 Technologist | 246ZS0410X | |||
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
1600 Sarno Rd Ste 15
Melbourne, FL 32935-4990
Mailing address
3100 W End Ave
Suite 800
Nashville, TN 37203-1320
Phone (615) 245-5400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1558615211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 W END AVE",
"address_2": "SUITE 800",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031320",
"telephone_number": "615-245-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SARNO RD STE 15",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329354990",
"telephone_number": "800-348-4565",
"fax_number": "888-465-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "GEORGE",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-02",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.