JKN Assistant, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00397 Issued in TX

Legal business name

JKN ASSISTANT, LLC

Practice address

13203 Park Manor St
San Antonio, TX 78230-1530

Phone

(210) 414-6626

NPI assigned

Feb 24, 2011

Organization subpart

Yes

Parent organization

JAMAX ASSISTANTAs reported in NPPES

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

Authorized official

Name

Jose J Ayala, LSANPI 1992939326

Title

Manager

Phone

(210) 414-6626

Specialties & licenses 1

Addresses

Other names 1

• jamax assistant Doing business as

Practitioners 1

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

• Jose J Ayala, LSA

  • Surgical Physician Assistant
  • San Antonio, TX
  • NPI 1992939326
  NPD (past) Authorized official

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1780981969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 PARK MANOR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301530",
            "telephone_number": "210-414-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 PARK MANOR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301530",
            "telephone_number": "210-414-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKN ASSISTANT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMAX ASSISTANT",
        "enumeration_date": "2011-02-24",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-414-6626",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jamax assistant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria M Jirka, M.D.
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• 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 May 28, 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.