Individual provider Active NPI

Maria Emilia Alcoba Gutierrez, LSA, CSA

  • Surgical Assistant
  • Fairfax, VA
National Provider Identifier
1932084431
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
0136000952 Issued in VA
Practice address
4125 Monument Corner Dr Apt 908
Fairfax, VA 22030-8661
Phone
(786) 495-3331
NPI assigned
Aug 6, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 0136000952 VA Primary

Addresses

Primary practice location

4125 Monument Corner Dr Apt 908
Fairfax, VA 22030-8661

Mailing address

4125 Monument Corner Dr Apt 908
Fairfax, VA 22030-8661
Phone (786) 495-3331

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0136000952VAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Andes Surgical First PLLC CurrentSince Aug 17, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1932084431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MONUMENT CORNER DR APT 908",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308661",
            "telephone_number": "786-495-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MONUMENT CORNER DR APT 908",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308661",
            "telephone_number": "786-495-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCOBA GUTIERREZ",
        "first_name": "MARIA EMILIA",
        "credential": "LSA, CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.