JKD Csfa LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

JKD CSFA LLC

Practice address

2775 Athens Ridge Dr
Henderson, NV 89052-4298

Phone

(808) 348-9904

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Jason DiasNPI 1457197139

Title

Surgical First Assist

Phone

(808) 348-9904

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jason Kaniela Dias

  • Surgical Physician Assistant
  • Henderson, NV
  • NPI 1457197139
  NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1801634407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777355",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777355",
            "telephone_number": "808-348-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 ATHENS RIDGE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524298",
            "telephone_number": "808-348-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKD CSFA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SURGICAL FIRST ASSIST",
        "authorized_official_telephone_number": "808-348-9904"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jimenez
• Jasmin Jimenez
• Stefanie Grace Jimenez
• Sylvia Jimenez
• Yvette Jimenez
• JL Assistingllc
• Joanne Nassar O D P C
• Mary B Jobes, APN
• Kathleen Jocelyn
• Brandon H Joe, DDS

• Surgical Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.