JASON FORT CST/CSA
NPI 1417228909
in San Tan Valley, AZ

Q: What is Jason Fort's NPI number?

The NPI number for Jason Fort is 1417228909. It was assigned to this individual provider in the NPPES registry on January 16, 2012.

Q: When was this NPI record last updated?

The NPPES record for Jason Fort was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 16, 2012

2778 E SUPERIOR RD, SAN TAN VALLEY, AZ 85143(480) 313-9045(480) 987-2186 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jason Fort Cst/csa NPPES

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

JASON FORT CST/CSA (NPI 1417228909) is an individual healthcare provider in San Tan Valley, Arizona, licensed in Arizona (L18709787) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1417228909

Entity TypeIndividualMale

Primary Taxonomy246ZS0400X

Provider Legal NameJASON FORTCredential: CST/CSA

Location Address2778 E SUPERIOR RDSan Tan Valley, AZ 85143-4573

Mailing Address2778 E Superior RdSan Tan Valley, AZ 85143-4573 · (480) 313-9045 · Fax (480) 987-2186

Phone(480) 313-9045

Fax(480) 987-2186

Sole ProprietorYes

Enumeration DateJanuary 16, 2012

Last NPPES UpdateAugust 12, 2014

✔ NPI 1417228909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty

Taxonomy Code246ZS0400X

Licenses✔ Licensed in AZ · L18709787✔ Licensed in OR · 454110172

2778 E SUPERIOR RD, San Tan Valley, AZ 85143

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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 Jason Fort's NPI number?

The NPI number for Jason Fort is 1417228909. It was assigned to this individual provider in the NPPES registry on January 16, 2012.

Where is Jason Fort located?

Jason Fort practices at 2778 E Superior Rd, San Tan Valley, AZ 85143. The listed phone number is (480) 313-9045.

When was this NPI record last updated?

The NPPES record for Jason Fort was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.