OrganizationActive
Blue Sky Surgical
NPI 1104714963 · Registered Nurse First Assistant · San Jose, CA
Provider details
- NPI number
- 1104714963
- Entity type
- Organization
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Organization subpart
- No
- Authorized official
- Jenny Phan, Owner(650) 935-4745
Specialties & taxonomies
Nursing Service Providers
- Nursing Care Agency251J00000X
Agencies
Practice location
2951 Wall St
San Jose, CA 95111-4600
Phone: (408) 603-6553
Approximate (ZIP-level) locationGet directions
Mailing address
2951 Wall St
San Jose, CA 95111-4600
Registry dates
- Enumerated
- 2025-06-27
- Last updated
- 2025-11-15
- Certified
- 2025-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.