IndividualActive
Octavio Pichardo, CSA
NPI 1104768506 · Surgical Assistant · Washington, DC
Provider details
- NPI number
- 1104768506
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- SA2000033 (DC)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5255 Loughboro Rd Nw
Washington, DC 20016-2696
Phone: (202) 570-4000
Approximate (ZIP-level) locationGet directions
Mailing address
3539 Dean Dr
Hyattsville, MD 20782-1211
Registry dates
- Enumerated
- 2026-04-07
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.