Individual provider Active NPI

Juan Sazo

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1922560317
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20434850 Issued in TX
Practice address
700 Rockmead Dr Ste 213
Kingwood, TX 77339-5018
Phone
(281) 594-7138
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20434850 TX Primary

Addresses

Primary practice location

700 Rockmead Dr Ste 213
Kingwood, TX 77339-5018

Mailing address

2811 Dustin Place CT
Humble, TX 77396-5907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20434850TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Xeraphim LLC Clinical CurrentSince May 24, 2020 Accepting new patients

Locations

700 Rockmead Dr
Ste 213
Kingwood, TX 77339
Phone (281) 433-8210

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1922560317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 DUSTIN PLACE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773965907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ROCKMEAD DR STE 213",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395018",
            "telephone_number": "281-594-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAZO",
        "first_name": "JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20434850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.