Star Surgical Assistants

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

10-124 Issued in CO

Legal business name

STAR SURGICAL ASSISTANTS

Practice address

941 Mitch Thomas
Pleasanton, TX 78064-4827

Phone

(210) 863-8127

NPI assigned

Jan 23, 2014

Last updated

Jan 23, 2014By 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

Mr. Rogelio Guardiola Jr., SA-C

Title

Surgical Assistant

Phone

(210) 863-8127

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Roger Guardiola Jr., CSFA

  • Surgical Technologist
  • Pleasanton, TX
  • NPI 1427193044
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1962825109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MITCH THOMAS",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644827",
            "telephone_number": "210-863-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 MITCH THOMAS",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644827",
            "telephone_number": "210-863-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "GUARDIOLA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "210-863-8127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "10-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "10-124",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kate Schorr, APRN, FNP-C
• Stephanie Dyan Seewald, CPNP
• Daniel M Sheffield, PHARM D
• Sharon J Smith, FNP
• Salina Raquel Solis
• Lee M Steinle, DDS
• Danielle Stockhorst, FNP
• Modesta Summers, LVN
• James D Sutton, ED.D.
• Tan Heart Clinic

• Surgical Assistant in Pleasanton, TX
• Providers in Pleasanton, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.