Efren Casanova MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

29488 Issued in AZ

Legal business name

EFREN CASANOVA MD, PC

Practice address

8711 E Pinnacle Peak Rd
PMB #203
Scottsdale, AZ 85255-3517

Phone

(602) 347-6620

Fax

(602) 569-8308

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Becky L Moran

Title

Billing Manager

Phone

(602) 347-6620

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1194983296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 E PINNACLE PEAK RD",
            "address_2": "PMB #203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553517",
            "telephone_number": "602-347-6620",
            "fax_number": "602-569-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 E PINNACLE PEAK RD",
            "address_2": "PMB #203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553517",
            "telephone_number": "602-347-6620",
            "fax_number": "602-569-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFREN CASANOVA MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "602-347-6620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729262",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.