Active NPI
Mario Alberto Sanchez Pubill, SA-C
- Surgical Assistant
- Pomona, CA
National Provider Identifier
1942723309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 14-555
- Practice address
- 1206 Glen Ave
Pomona, CA 91768-1212 - Phone
- (323) 203-4769
- NPI assigned
- Jul 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 14-555 | CA | Primary |
Addresses
Primary practice location
1206 Glen Ave
Pomona, CA 91768-1212
Mailing address
10292 Central Ave Apt 287
Montclair, CA 91763-3802
Phone (323) 203-4769
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-555 | CA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1942723309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10292 CENTRAL AVE APT 287",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917633802",
"telephone_number": "323-203-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 GLEN AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917681212",
"telephone_number": "323-203-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ PUBILL",
"first_name": "MARIO",
"middle_name": "ALBERTO",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CA",
"license": "14-555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.