Organization Active NPI

CJ Surgical Assisting

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1982084562
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
CJ SURGICAL ASSISTING
Practice address
9420 E. Golf Links Rd.
Ste 108 #138
Tucson, AZ 85730-1317
Phone
(520) 390-3862
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Carolyn L Jones, SA-CNPI 1205257359
Title
Manager
Phone
(520) 390-3862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

9420 E. Golf Links Rd.
Ste 108 #138
Tucson, AZ 85730-1317

Mailing address

9420 E. Golf Links Rd.
Ste 108 #138
Tucson, AZ 85873-1317
Phone (520) 390-3862

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1982084562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 E. GOLF LINKS RD.",
            "address_2": "STE 108 #138",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "858731317",
            "telephone_number": "520-390-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 E. GOLF LINKS RD.",
            "address_2": "STE 108 #138",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301317",
            "telephone_number": "520-390-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-390-3862",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.