NPIMap

Organization Active NPI

Saguaro Surgical, P C

  • Specialist
  • Tucson, AZ
National Provider Identifier
1124208269
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20041 Issued in AZ
Legal business name
SAGUARO SURGICAL, P C
Practice address
6422 E Speedway Blvd Ste 150
Tucson, AZ 85710-1149
Phone
(520) 318-3004
Fax
(520) 318-3061
NPI assigned
Nov 6, 2007
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Alba Calderon
Title
Credentialing Specialist
Phone
(520) 318-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 20041 AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 150
Tucson, AZ 85710-1149

Mailing address

6422 E Speedway Blvd
Ste 150
Tucson, AZ 85710-1148
Phone (520) 318-3004

National Provider Directory

National Provider Directory

Locations

1200 N Wilmot Rd
Tucson, AZ 85712

6422 E Speedway Blvd
Tucson, AZ 85710

6442 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 318-3004

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1124208269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD",
            "address_2": "STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101148",
            "telephone_number": "520-318-3004",
            "fax_number": "520-318-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101149",
            "telephone_number": "520-318-3004",
            "fax_number": "520-318-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO SURGICAL, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "ALBA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "520-318-3004"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20041",
            "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 Mar 2, 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.