Blue Sky Surgical
Blue Sky Surgical is a healthcare organization registered as Registered Nurse First Assistant in San Jose, CA, holding Type 2 (organization) NPI 1104714963 since 2025. The authorized official on file is Jenny Phan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104714963 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blue Sky Surgical |
| Practice address | 2951 WALL ST, San Jose, CA, 95111 |
| Phone | 4086036553 |
| Enumeration date | 2025-06-27 |
| Last updated in NPPES | 2025-11-15 |
Authorized official
| Name | Jenny Phan |
|---|---|
| Title | Owner |
| Phone | 6509354745 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251J00000X | Nursing Care Agency | Secondary | — | — |
| 163WR0006X | Registered Nurse First Assistant | Primary | — | — |
Copy-ready billing details
Provider: Blue Sky Surgical NPI: 1104714963 Taxonomy: 163WR0006X (Registered Nurse First Assistant) Address: 2951 WALL ST, San Jose, CA, 95111
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902643695 | Jenny Phan | Individual | Registered Nurse First Assistant | San Jose, CA |
Verify this record
Cross-check NPI 1104714963 against the authoritative CMS record: view Blue Sky Surgical on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Blue Sky Surgical?
What is the NPI number for Blue Sky Surgical?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-15.