Individual provider Active NPI

Jovenar Diwayan Ulep, SURGICAL ASSISTANT

  • Surgical Assistant
  • Denver, CO
National Provider Identifier
1578345401
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA.0003384 Issued in CO
Practice address
1919 E 18TH Ave
Denver, CO 80206-1107
Phone
(303) 322-3993
NPI assigned
Oct 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X SA.0003384 CO Primary

Addresses

Primary practice location

1919 E 18TH Ave
Denver, CO 80206-1107

Mailing address

19374 E Purdue Cir
Aurora, CO 80013-4514
Phone (303) 328-7057

Other practice location 1

2001 N High St
Denver, CO 80205-5555
Phone (720) 754-1000

Other practice location 2

9005 Grant St Ste 300
Thornton, CO 80229-4384
Phone (303) 288-4694

Other practice location 3

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

Other practice location 4

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-6492

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

LicenseStateTypeSpecialty
SA.0003384COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1578345401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19374 E PURDUE CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800134514",
            "telephone_number": "303-328-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061107",
            "telephone_number": "303-322-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N High St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055555",
            "country_code": "US",
            "telephone_number": "720-754-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9005 Grant St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294384",
            "country_code": "US",
            "telephone_number": "303-288-4694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Ridgegate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245522",
            "country_code": "US",
            "telephone_number": "720-225-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULEP",
        "first_name": "JOVENAR",
        "middle_name": "DIWAYAN",
        "name_prefix": "Mr.",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA.0003384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.