Elite Coastal Surgical Assist

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ELITE COASTAL SURGICAL ASSIST

Practice address

449 E Elm St
Taft, TX 78390-2518

Phone

(361) 222-2144

NPI assigned

Mar 13, 2022

Last updated

Mar 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leandra Ryan Alvarado, LSANPI 1407508831

Title

Licensed Surgical Assistant

Phone

(361) 222-2144

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, and the practitioner matching its NPPES authorized official.

• Leandra Ryan Alvarado, LSA

  • Surgical Physician Assistant
  • Taft, TX
  • NPI 1407508831
  NPD Authorized official

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1831847458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E ELM ST",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783902518",
            "telephone_number": "361-222-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E ELM ST",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783902518",
            "telephone_number": "361-222-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COASTAL SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "LEANDRA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "LICENSED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "361-222-2144",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leandra Ryan Alvarado, LSA
• John Cantu, IDC
• Capsule Pharmacy
• Charles D Kolb DDS Inc
• City of Taft
• Veronica Gonzalez, CPM LM
• Caitlyn Martha Grace Hornsby
• Jose Benamu M.D. P.a.
• Charles Douglas Kolb, D.D.S.
• Jonathan Charles Kolb, D.D.S.

• Surgical Physician Assistant in Taft, TX
• Providers in Taft, 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 Mar 13, 2022; 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.