Organization Active NPI

Cactus Health Care Services

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1013398411
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
126978 Issued in AZ
Legal business name
CACTUS HEALTH CARE SERVICES
Practice address
8900 N Central Ave
Suite 107
Phoenix, AZ 85020-2845
Phone
(602) 245-0592
Fax
(602) 943-0864
NPI assigned
Jun 11, 2015
Organization subpart
Yes
Parent organization
CACTUS HEALTH CARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marilyn Egboro, RN
Title
Director
Phone
(602) 245-0592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 126978 AZ Primary

Addresses

Primary practice location

8900 N Central Ave
Suite 107
Phoenix, AZ 85020-2845

Mailing address

1335 W 13TH PL
Tempe, AZ 85281-6315
Phone (602) 509-6316

National Provider Directory

National Provider Directory
Part of
Cactus Health Care Services

Locations

8900 N Central Ave
Ste 107
Phoenix, AZ 85020
Phone (602) 245-0592

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1013398411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W 13TH PL",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816315",
            "telephone_number": "602-509-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N CENTRAL AVE",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202845",
            "telephone_number": "602-245-0592",
            "fax_number": "602-943-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS HEALTH CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CACTUS HEALTH CARE SERVICES",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "EGBORO",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-245-0592",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "126978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.