Individual provider Active NPI

Rodolfo Meza, CSA

  • Surgical Assistant
  • Sugar Land, TX
National Provider Identifier
1659873909
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
172784 Issued in TX
Practice address
1 Sugar Creek LN Ste 618
Sugar Land, TX 77478
Phone
(832) 655-4141
NPI assigned
Mar 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 172784 TX Primary

Addresses

Primary practice location

1 Sugar Creek LN Ste 618
Sugar Land, TX 77478

Mailing address

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141

Other identifiers 1

IdentifierTypeStateIssuer
172784OtherNBSTSA

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
172784TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1659873909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783540",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK LN STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-655-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "RODOLFO",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "172784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA",
            "identifier": "172784",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.