Active NPI
Jovenar Diwayan Ulep, SURGICAL ASSISTANT
- Surgical Assistant
- Denver, CO
National Provider Identifier
1578345401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA.0003384
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SA.0003384 | CO | MD | Surgical 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.