JKD CSFA LLC NPI 1801634407

NPI Information

  • NPI: 1801634407
  • Provider Name: JKD CSFA LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 2775 ATHENS RIDGE DR
    HENDERSON, NV
    ZIP 89052
  • Phone: (808) 348-9904

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NPI Details

JKD CSFA LLC is a surgical physician assistant in Henderson, NV. JKD CSFA LLC NPI is 1801634407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2775 ATHENS RIDGE DR
HENDERSON, NV
ZIP 89052-298
Phone: (808) 348-9904

The provider's authorized official is Jason Dias .
The authorized official title is Surgical First Assist and has the following contact phone number (808) 348-9904.

The enumeration date for this NPI number is 7/17/2024 and was last updated on 7/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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