RICARDO CHUJUTALLI CSA
NPI 1215178769
Physician Assistant - Surgical in Grand Prairie, TX

NPI Status: Active since March 12, 2009

Contact Information

4924 MARSH HARRIER AVE
GRAND PRAIRIE, TX
ZIP 75052
Phone: (972) 652-0705
Fax: (972) 752-7889

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  • Individual
  • Male
  • Physician Assistant
  • Surgical

About RICARDO CHUJUTALLI

This page provides the complete NPI Profile along with additional information for Ricardo Chujutalli, a provider established in Grand Prairie, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1215178769 assigned on March 2009. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1215178769
Provider Name
RICARDO CHUJUTALLI CSA
Gender
Male
Entity Type
Individual
Location Address
4924 MARSH HARRIER AVE GRAND PRAIRIE, TX 75052
Location Phone
(972) 652-0705
Location Fax
(972) 752-7889
Mailing Address
4924 MARSH HARRIER AVE GRAND PRAIRIE, TX 75052
Mailing Phone
(972) 652-0705
Mailing Fax
(972) 752-7889
Is Sole Proprietor?
Yes
Enumeration Date
03-12-2009
Last Update Date
03-26-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215178769
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22252716712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 7 + 1 + 6 + 7 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1215178769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

247 OBGYN SURGICAL ASSISTING SERVICES

Physician Assistant

(Surgical)

4924 MARSH HARRIER AVE
GRAND PRAIRIE, TX
ZIP 75052

(972) 652-0705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215178769, enumerated as an "individual" on March 12, 2009.

The provider is located at 4924 MARSH HARRIER AVE GRAND PRAIRIE, TX 75052 and the phone number is (972) 652-0705.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.