Organization Active NPI

Subo Health

  • Medical Physician Assistant
  • West Jordan, UT
National Provider Identifier
1720840093
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
SUBO HEALTH
Practice address
7533 S Center View CT # 4252
West Jordan, UT 84084-5526
Phone
(801) 406-1245
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Sabrina Nelson, PA-C
Title
Member/Founder
Phone
(210) 254-7215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

7533 S Center View CT # 4252
West Jordan, UT 84084-5526

Mailing address

7533 S Center View CT # 4252
West Jordan, UT 84084-5526
Phone (801) 406-1245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1720840093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 S CENTER VIEW CT # 4252",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845526",
            "telephone_number": "801-406-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 S CENTER VIEW CT # 4252",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845526",
            "telephone_number": "801-406-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "MEMBER/FOUNDER",
        "authorized_official_telephone_number": "210-254-7215",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.