Queenie Casino Sabal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1519 Issued in AZ

Practice address

1155 N Pinal Pkwy
Florence, AZ 85132-8867

Phone

(520) 868-3668

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1174968127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 N EL DORADO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333508",
            "telephone_number": "480-813-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N PINAL PKWY",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328867",
            "telephone_number": "520-868-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAL",
        "first_name": "QUEENIE",
        "middle_name": "CASINO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Florence, AZ
• Providers in Florence, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.