Active NPI
Jennifer Zazueta, CSFA
- Surgical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1730550146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 4126 E Nighthawk Way
Phoenix, AZ 85048 - Phone
- (480) 720-8602
- Fax
- (480) 365-0507
- NPI assigned
- Oct 12, 2015
- Sex
- Female
- 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 | 246ZC0007X | ||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
4126 E Nighthawk Way
Phoenix, AZ 85048
Mailing address
P.O. Box 21449
Mesa, AZ 85277
Phone (480) 221-4815
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 |
|---|---|---|---|
| Metropolitan Surgical Assistants | Surgical Assistant | Past | Accepting new patients |
| Ross McDonald, Surgical Assistant-Certified | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgical Assistant
- Mesa, AZ
- NPI 1245698992
-
- Surgical Technologist
- Mesa, AZ
- NPI 1821248311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1730550146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 21449",
"city": "MESA",
"state": "AZ",
"postal_code": "85277",
"telephone_number": "480-221-4815",
"fax_number": "480-985-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 E NIGHTHAWK WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85048",
"telephone_number": "480-720-8602",
"fax_number": "480-365-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAZUETA",
"first_name": "JENNIFER",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "246ZC0007X",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.