NPI 1104768506

Octavio Pichardo, CSA

Practitioner Surgical Assistant Washington, DC

Practice location

Address: 5255 Loughboro Rd NW, Washington, DC 20016-2696
Phone: (202) 570-4000
Mailing address: 3539 Dean Dr, Hyattsville, MD 20782-1211

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence SA2000033 (DC)

Other Specialist/Technologist, Other providers in District of Columbia →

Registry record

NPI: 1104768506
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2026
Record last updated: 7 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.