Active NPI
Estrella Marina Sandoval-Becker, NMD
- General Practice Physician
- Tempe, AZ
National Provider Identifier
1063066496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19-1808
- Practice address
- 1631 E Guadalupe Rd Ste 104
Tempe, AZ 85283-3935 - Phone
- (480) 330-4818
- Fax
- (833) 301-0796
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19-1808 | AZ | Primary |
Addresses
Primary practice location
1631 E Guadalupe Rd Ste 104
Tempe, AZ 85283-3935
Mailing address
1631 E Guadalupe Rd Ste 104
Tempe, AZ 85283-3935
Phone (480) 330-4818
Other practice location 1
1902 E Baseline Rd Ste 6
Mesa, AZ 85204-6815
Phone (480) 306-7376
Other practice location 2
1955 N Val Vista Dr Ste 103
Mesa, AZ 85213-3218
Phone (480) 306-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19-1808 | Other | AZ | GENERAL MED |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | ChARMEHR | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-1808 | AZ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa Naturopathic, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Naturopath
- Mesa, AZ
- NPI 1609627025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1063066496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 E GUADALUPE RD STE 104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833935",
"telephone_number": "480-330-4818",
"fax_number": "833-301-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 E GUADALUPE RD STE 104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833935",
"telephone_number": "480-330-4818",
"fax_number": "833-301-0796"
}
],
"practiceLocations": [
{
"address_1": "1902 E Baseline Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852046815",
"country_code": "US",
"telephone_number": "480-306-7376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1955 N Val Vista Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852133218",
"country_code": "US",
"telephone_number": "480-306-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL-BECKER",
"first_name": "ESTRELLA",
"middle_name": "MARINA",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "19-1808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL MED",
"identifier": "19-1808",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "ChARMEHR",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SIM",
"address_1": "2525 S Rural Rd Ste 4N",
"city": "Tempe",
"state": "AZ",
"country_code": "US",
"postal_code": "852822442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.