IndividualActive
Samuel Jimenez, SA-C
NPI 1124472915 · Surgical Assistant · Katy, TX
Provider details
- NPI number
- 1124472915
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16-180 (WI)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3903 S Mason Rd
Apt #111
Katy, TX 77450-7708
Phone: (786) 660-6908
Street-level locationGet directions
Mailing address
3909 S Mason R
Katy, TX 77450
Registry dates
- Enumerated
- 2016-04-18
- Last updated
- 2016-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.