OrganizationActive
Jkd Csfa LLC
NPI 1801634407 · Surgical Physician Assistant · Henderson, NV
Provider details
- NPI number
- 1801634407
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jason Dias, Surgical First Assist(808) 348-9904
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2775 Athens Ridge Dr
Henderson, NV 89052-4298
Phone: (808) 348-9904
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 777355
Henderson, NV 89077-7355
Registry dates
- Enumerated
- 2024-07-17
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.