Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Physician Assistant - Surgical Assist, LLC

Organization Surgical Physician Assistant · NPI 1942579750

Physician Assistant - Surgical Assist, LLC is a Surgical Physician Assistant in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4980 S Alma School Rd A2-130
Chandler, AZ 85248-5545
Phone: (480) 215-3035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2841 (AZ)

Record details

NPI number1942579750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Vincelette — Physician Assistant · (480) 215-3035
NPI enumeratedDecember 22, 2011
Last updated in NPPESDecember 22, 2011
Mailing address4980 S Alma School Rd, A2-130, Chandler, AZ 85248-5545

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