Sag, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAG, LLC

Practice address

3306 W Roosevelt St
Phoenix, AZ 85009-3404

Phone

(602) 889-9401

Fax

(602) 269-7772

NPI assigned

Feb 25, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose Mata-Espinoza

Title

Credentialing Coordinator

Phone

(602) 687-8219

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Center For Pain Control Other name

Locations

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033359419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N 20TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155124",
            "telephone_number": "602-889-9401",
            "fax_number": "602-889-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093404",
            "telephone_number": "602-889-9401",
            "fax_number": "602-269-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 N 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850155124",
            "country_code": "US",
            "telephone_number": "602-889-9401",
            "fax_number": "602-889-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MATA-ESPINOZA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "602-687-8219"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444776",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pain control",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center For Pain Control",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yvonne M Saffron, PHD
• Safi Home LLC
• Shazia Safi, RNC
• Wolf Safrin I, MD
• Karima Amal Safsaf, APRN
• Sag, LLC (Center for pain control)
• Sagamar Behavioral Care Home, LLC
• Aashish N Sagar, MD
• Smitha Sagaram, MBBS
• Sage Counseling, Inc.

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.