Active NPI
Rogelio Santamaria Samorano, MD
- Psychiatry Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 51294
- Practice address
- 2891 N Silkie PL
Tucson, AZ 85719-2866 - Phone
- (619) 993-6556
- NPI assigned
- Feb 27, 2007
- Last updated
- Jan 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A95795 | CA | |
| Family Medicine Physician | 207Q00000X | 51294 | AZ | |
| Psychiatry Physician | 2084P0800X | A95795 | CA | |
| Psychiatry Physician | 2084P0800X | 51294 | AZ | Primary |
Addresses
Primary practice location
2891 N Silkie PL
Tucson, AZ 85719-2866
Mailing address
1135 W Ebner PL
Tucson, AZ 85714-1109
Phone (619) 993-6556
Other practice location 1
1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone (520) 309-3322
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GE406Y | Other | CA | MEDICARE PTAN |
| ZZZ20041Z | Other | CA | MEDICARE GROUP PTAN |
| W14158 | Other | CA | MEDICARE GROUP PTAN |
| GE406Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Stanford University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mariposa Community Health Center Inc
Practice addresses (Care Compare)
1103 Circulo Mercado
Rio Rico, AZ 85648-6248
Phone (520) 281-1550
1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51294 | AZ | MD | Psychiatry Physician |
| A95795 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Border Region MH Mr Community Center | Family Medicine | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center | Past | Accepting new patients |
Locations
1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135
1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180
1852 N Mastick Way
Nogales, AZ 85621
3231 N Grand Ave
Nogales, AZ 85621
Phone (520) 393-4923
507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085
1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180
101 W Irvington Rd
Bldg 10
Tucson, AZ 85714
Phone (520) 309-4585
1101 E Broadway Blvd
Tucson, AZ 85719
Phone (520) 624-7750
1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 205-4997
1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746
320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663
630 N Alvernon Way
Tucson, AZ 85711
Phone (520) 202-1800
6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3225
7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039
839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707
1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba El Rio Community Health Center
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
-
dba University Health Center
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1598457525
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
-
- Federally Qualified Health Center (FQHC)
- Tubac, AZ
- NPI 1578922787
Family Medicine
-
dba El Rio Southwest Dental Clinic
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1528487782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1235266461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 W EBNER PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857141109",
"telephone_number": "619-993-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2891 N SILKIE PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192866",
"telephone_number": "619-993-6556"
}
],
"practiceLocations": [
{
"address_1": "1230 S Cherrybell Stra",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857131907",
"country_code": "US",
"telephone_number": "520-309-3322",
"fax_number": "520-309-4597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMORANO",
"first_name": "ROGELIO",
"middle_name": "SANTAMARIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A95795",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "51294",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A95795",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "51294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GE406Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "ZZZ20041Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "W14158",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GE406Z",
"state": "CA"
}
],
"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 Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.