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IGNAT IVANOV IGNATOV CSA
NPI 1366786204
Physician Assistant - Surgical in Surprise, AZ

Active since November 15, 2012
13832 W GELDING DR, SURPRISE, AZ 85379(602) 451-7496 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 4, 2023, Jun 23, 2021 (2 updates tracked since 2021).

About Ignat Ivanov Ignatov Csa NPPES

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

IGNAT IVANOV IGNATOV CSA (NPI 1366786204) is an individual surgical provider in Surprise, Arizona, licensed in Arizona (4024) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1366786204
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameIGNAT IVANOV IGNATOVCredential: CSA
Location Address13832 W GELDING DRSurprise, AZ 85379-8352
Mailing Address13832 W Gelding DrSurprise, AZ 85379-8352 · (602) 451-7496
Phone(602) 451-7496
Sole ProprietorYes
Enumeration DateNovember 15, 2012
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1366786204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 4024
13832 W GELDING DR, Surprise, AZ 85379
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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 Ignat Ignatov's NPI number?

The NPI number for Ignat Ignatov is 1366786204. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Ignat Ignatov located?

Ignat Ignatov practices at 13832 W Gelding Dr, Surprise, AZ 85379. The listed phone number is (602) 451-7496.

What is Ignat Ignatov'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 Ignat Ignatov was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.