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JACKSON ARIEL MOSCOSO SURGICAL ASSISTANT
NPI 1720625080
Specialist/Technologist, Other - Surgical Assistant in Fairfax, VA

Active since December 05, 2019
3127 PLANTATION PKWY, FAIRFAX, VA 22030(571) 594-8144 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2019, Dec 5, 2019 (2 updates tracked since 2019).

About Jackson Ariel Moscoso Surgical Assistant NPPES

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

JACKSON ARIEL MOSCOSO SURGICAL ASSISTANT (NPI 1720625080) is an individual surgical assistant in Fairfax, Virginia, licensed in Virginia (5092) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1720625080
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameJACKSON ARIEL MOSCOSOCredential: SURGICAL ASSISTANT
Location Address3127 PLANTATION PKWYFairfax, VA 22030-2117
Mailing Address3127 Plantation PkwyFairfax, VA 22030-2117 · (571) 594-8144
Phone(571) 594-8144
Sole ProprietorYes
Enumeration DateDecember 5, 2019
Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration
✔ NPI 1720625080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in VA · 5092
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
3127 PLANTATION PKWY, Fairfax, VA 22030
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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 Jackson Moscoso's NPI number?

The NPI number for Jackson Moscoso is 1720625080. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Jackson Moscoso located?

Jackson Moscoso practices at 3127 Plantation Pkwy, Fairfax, VA 22030. The listed phone number is (571) 594-8144.

What is Jackson Moscoso's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Jackson Moscoso was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.