CEPJASSO
NPI 1407163538
Physician Assistant - Surgical in San Antonio, TX

Active since September 10, 2010
3023 IVORY CRK, SAN ANTONIO, TX 78258(210) 408-0605 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cepjasso NPPES

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

CEPJASSO (NPI 1407163538) is a healthcare organization registered as a surgical in San Antonio, Texas and active in the NPI registry since September 2010. The organization lists Cristobal E Perez, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1407163538
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameCEPJASSO
Location Address3023 IVORY CRKSan Antonio, TX 78258-1603
Mailing Address3023 Ivory CrkSan Antonio, TX 78258-1603 · (210) 408-0605
Organization SubpartNo
Authorized OfficialCristobal E PerezSole Proprietor · (210) 408-0605
Enumeration DateSeptember 10, 2010
NPI 1407163538 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 TX · PA04389
3023 IVORY CRK, San Antonio, TX 78258

Other Identifiers 2

Medicaid202342601TX
Medicare PIN8L11136TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Cepjasso's NPI number?

The NPI number for Cepjasso is 1407163538. It was assigned to this organization in the NPPES registry on September 10, 2010.

Where is Cepjasso located?

Cepjasso is located at 3023 Ivory Crk, San Antonio, TX 78258. The listed phone number is (210) 408-0605.

What is Cepjasso'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 Cepjasso was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.