NPIMap

Organization Active NPI

S.a.K. Professionals Inc.

  • Surgical Physician Assistant
  • Pasadena, TX
National Provider Identifier
1992093082
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00379 Issued in TX
Legal business name
S.A.K. PROFESSIONALS INC.
Practice address
4622 La Paz St
Pasadena, TX 77504-2552
Phone
(832) 656-0597
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Mrs. Sylvia Amy Pennie, LSANPI 1154583888
Title
Authorized Official
Phone
(832) 656-0597

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: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00379 TX Primary

Addresses

Primary practice location

4622 La Paz St
Pasadena, TX 77504-2552

Mailing address

PO Box 19368
Sugar Land, TX 77496-9368

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1992093082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19368",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774969368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 LA PAZ ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042552",
            "telephone_number": "832-656-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.K. PROFESSIONALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "PENNIE",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-656-0597",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.