Active NPI
Sonoran Surgical Assisting
- Surgical Physician Assistant
- Gilbert, AZ
National Provider Identifier
1770964009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA0124
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 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 DirectoryLocations
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.