Elite Surgical Associates of Sa

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04861 Issued in TX

Legal business name

ELITE SURGICAL ASSOCIATES OF SA

Practice address

20079 Stone Oak Pkwy Ste 1105-482
San Antonio, TX 78258-6942

Phone

(253) 970-8253

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Shakira Cabrera, PA

Title

Owner

Phone

(253) 970-8253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1679944631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105-482",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105-482",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "253-970-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGICAL ASSOCIATES OF SA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "SHAKIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-970-8253",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Plastic & Reconstructive Surgery, PA
• Elite Rehab Services, LLC
• Elite Rejuvenation Clinic
• Elite Seniors Home Care LLP
• Elite Surgical Assisting of South Texas
• Elite Surgical Staffing, PLLC
• Elite Vision Satx PLLC
• Elitemed Revenue Management LLC
• Ashley Kimtashi Elix, AGACNP-BC
• Elizabeth Bohnenblust Clanton, MD, PA

• Surgical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.