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

Q: What is Ricardo Chujutalli's NPI number?

The NPI number for Ricardo Chujutalli is 1215178769. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Q: What is Ricardo Chujutalli's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since March 12, 2009

4924 MARSH HARRIER AVE, GRAND PRAIRIE, TX 75052(972) 652-0705(972) 752-7889 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ricardo Chujutalli Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO CHUJUTALLI CSA (NPI 1215178769) is an individual surgical provider in Grand Prairie, Texas and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1215178769

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameRICARDO CHUJUTALLICredential: CSA

Location Address4924 MARSH HARRIER AVEGrand Prairie, TX 75052-3057

Mailing Address4924 Marsh Harrier AveGrand Prairie, TX 75052-3057 · (972) 652-0705 · Fax (972) 752-7889

Phone(972) 652-0705

Fax(972) 752-7889

Sole ProprietorYes

Enumeration DateMarch 12, 2009

Last NPPES UpdateMarch 26, 2015

✔ NPI 1215178769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X

4924 MARSH HARRIER AVE, Grand Prairie, TX 75052

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

247 OBGYN SURGICAL ASSISTING SERVICES

Physician Assistant (Surgical)

4924 MARSH HARRIER AVE
GRAND PRAIRIE, TX 75052

Dallas County (972) 652-0705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Chujutalli's NPI number?

The NPI number for Ricardo Chujutalli is 1215178769. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Ricardo Chujutalli located?

Ricardo Chujutalli practices at 4924 Marsh Harrier Ave, Grand Prairie, TX 75052. The listed phone number is (972) 652-0705.

What is Ricardo Chujutalli's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Ricardo Chujutalli was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.