Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Physician Assistant - Surgical Assist, LLC

Organization Surgical Physician Assistant · NPI 1942579750

Physician Assistant - Surgical Assist, LLC provides Surgical Physician Assistant services 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 Not confirmed with CMS for 14 years — call before visiting
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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