NPIMap

Organization Active NPI

247 OBGYN Surgical Assisting Services

Doing business as Ricardo Chujutalli CSA

  • Surgical Physician Assistant
  • Grand Prairie, TX
National Provider Identifier
1790179893
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
247 OBGYN SURGICAL ASSISTING SERVICES
Doing business as
Ricardo Chujutalli CSA
Practice address
4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057
Phone
(972) 652-0705
Fax
(972) 752-7889
NPI assigned
Mar 26, 2015
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Ricardo Chujutalli, CSANPI 1215178769
Title
Manager/Owner
Phone
(972) 652-0705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary
Surgical Assistant 246ZC0007X NU

Addresses

Primary practice location

4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057

Mailing address

4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057
Phone (972) 652-0705

Other names 1

  • Ricardo Chujutalli CSA Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1790179893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 MARSH HARRIER AVE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523057",
            "telephone_number": "972-652-0705",
            "fax_number": "972-752-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 MARSH HARRIER AVE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523057",
            "telephone_number": "972-652-0705",
            "fax_number": "972-752-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "247 OBGYN SURGICAL ASSISTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "CHUJUTALLI",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "972-652-0705",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ricardo Chujutalli CSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.