Active NPI
Jason S Mazza, OA-C, CSA, SA-C, OTC
- Surgical Physician Assistant
- Trinity, FL
National Provider Identifier
1669458519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 1745 Citron CT
Trinity, FL 34655-4902 - Phone
- (727) 372-3918
- NPI assigned
- Dec 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
1745 Citron CT
Trinity, FL 34655-4902
Mailing address
10402 Tecoma Dr
Trinity, FL 34655-5049
Phone (727) 372-3918
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zam HHS, LLC | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1669458519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10402 TECOMA DR",
"city": "TRINITY",
"state": "FL",
"postal_code": "346555049",
"telephone_number": "727-372-3918",
"fax_number": "727-372-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 CITRON CT",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554902",
"telephone_number": "727-372-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZA",
"first_name": "JASON",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "OA-C, CSA, SA-C, OTC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.