NPIMap

Organization Active NPI

Pima Heart ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
National Provider Identifier
1184078503
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC8295 Issued in AZ
Legal business name
PIMA HEART ASC LLC
Doing business as
Pima Heart ASC LLC
Practice address
1238 W Orange Grove Rd
Suite# 101
Tucson, AZ 85704
Phone
(520) 838-2300
Fax
(520) 838-2229
NPI assigned
Apr 21, 2016
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
John Underwood
Title
VP Treasurer
Phone
(817) 948-3428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AZ
Ambulatory Surgical Clinic/Center 261QA1903X OSC8295 AZ Primary

Addresses

Primary practice location

1238 W Orange Grove Rd
Suite# 101
Tucson, AZ 85704

Mailing address

3709 N Campbell Ave Ste 201
Tucson, AZ 85719-1563
Phone (520) 320-3918

Other names 1

  • Pima Heart ASC LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170113002565 AZ Part B Supplier - Ambulatory Surgical Center 9830471440 Practice locations: Tucson, AZ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pima Heart ASC LLCCCN 03C0001375
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2126022Pima Heart ASC, LLC1238 W Orange Grove Rd, Ste 101, Tucson, AZ 85704ComplianceJun 29, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2404 E River Rd
Bldg 1
Tucson, AZ 85718
Phone (520) 365-1441

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1184078503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-320-3918",
            "fax_number": "520-629-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 W ORANGE GROVE RD",
            "address_2": "SUITE# 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-838-2300",
            "fax_number": "520-838-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA HEART ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "817-948-3428"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC8295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pima Heart ASC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.