Organization Active NPI

Southern Arizona Center for Pelvic Health

  • Women's Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1063962819
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP7401 Issued in AZ
Legal business name
SOUTHERN ARIZONA CENTER FOR PELVIC HEALTH
Practice address
1625 W Ina Rd
Suite 117
Tucson, AZ 85704-1900
Phone
(520) 237-2420
Fax
(520) 888-1453
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Patricia Jalomo, DNPNPI 1538564778
Title
WHNP/Owner
Phone
(520) 237-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X AP7401 AZ Primary

Addresses

Primary practice location

1625 W Ina Rd
Suite 117
Tucson, AZ 85704-1900

Mailing address

1625 W Ina Rd
Suite 117
Tucson, AZ 85704-1900
Phone (520) 237-2420

National Provider Directory

National Provider Directory

Locations

2262 W Magee Rd
Tucson, AZ 85742
Phone (520) 219-0482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1063962819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W INA RD",
            "address_2": "SUITE 117",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041900",
            "telephone_number": "520-237-2420",
            "fax_number": "520-888-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W INA RD",
            "address_2": "SUITE 117",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041900",
            "telephone_number": "520-237-2420",
            "fax_number": "520-888-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA CENTER FOR PELVIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "JALOMO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "WHNP/OWNER",
        "authorized_official_telephone_number": "520-237-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP7401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.