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

Octavio Pichardo, CSA

Individual provider Surgical Assistant · NPI 1104768506

Octavio Pichardo, CSA is a Surgical Assistant in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2026

Practice location Address checks out

5255 Loughboro Rd NW
Washington, DC 20016-2696
Phone: (202) 570-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA2000033 (DC)

Record details

NPI number1104768506
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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