Active NPI
Sara Bahena
- Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1154056380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277943
- Practice address
- 1345 E Main St
Mesa, AZ 85203-8947 - Phone
- (480) 223-0290
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 277943 | AZ | Primary |
| Pediatric Registered Nurse | 163WP0200X | 277943 | AZ |
Addresses
Primary practice location
1345 E Main St
Mesa, AZ 85203-8947
Mailing address
7913 S 24TH Way
Phoenix, AZ 85042-7162
Other practice location 1
7205 S 51st Ave
Laveen, AZ 85339-7398
Phone (623) 846-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164812 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona OB GYN Affiliates PC | 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.
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1154056380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7913 S 24TH WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850427162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 E MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852038947",
"telephone_number": "480-223-0290"
}
],
"practiceLocations": [
{
"address_1": "7205 S 51st Ave",
"address_purpose": "LOCATION",
"city": "Laveen",
"state": "AZ",
"postal_code": "853397398",
"country_code": "US",
"telephone_number": "623-846-7575",
"fax_number": "623-846-3778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAHENA",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "277943",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "AZ",
"license": "277943",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164812",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.