Organization Active NPI

Sonoran Surgical Assisting

  • Surgical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1770964009
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA0124 Issued in DC
Legal business name
SONORAN SURGICAL ASSISTING
Practice address
67 S Higley Rd
103-228
Gilbert, AZ 85296-1166
Phone
(520) 252-5452
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Mrs. Claudia Cardenas-Jacinto, SA-C, LSA
Title
President
Phone
(520) 252-5452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X SA0124 DC Primary

Addresses

Primary practice location

67 S Higley Rd
103-228
Gilbert, AZ 85296-1166

Mailing address

67 S Higley Rd
103-228
Gilbert, AZ 85296-1166
Phone (520) 252-5452

National Provider Directory

National Provider Directory

Locations

67 S Higley Rd
#103228
Gilbert, AZ 85296
Phone (520) 252-5452

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1770964009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S HIGLEY RD",
            "address_2": "103-228",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961166",
            "telephone_number": "520-252-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S HIGLEY RD",
            "address_2": "103-228",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961166",
            "telephone_number": "520-252-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "CARDENAS-JACINTO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-252-5452",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SA-C, LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "DC",
            "license": "SA0124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

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