Individual provider Active NPI

Rogelio Santamaria Samorano, MD

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1235266461
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
51294 Issued in AZ
Practice address
2891 N Silkie PL
Tucson, AZ 85719-2866
Phone
(619) 993-6556
NPI assigned
Feb 27, 2007
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GE406YOtherCAMEDICARE PTAN
ZZZ20041ZOtherCAMEDICARE GROUP PTAN
W14158OtherCAMEDICARE GROUP PTAN
GE406ZOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160127001261 AZ Practitioner - PsychiatryPractitioner - Family Practice 5294990305 Reassigns benefits to 2 organizations
I20240618002072 TX Practitioner - Psychiatry 5294990305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Family Practice
Education
Stanford University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariposa Community Health Center IncGroup PAC ID 8123926326, shared by 8 NPIs, 34 clinicians

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

LicenseStateTypeSpecialty
51294AZMDPsychiatry Physician
A95795CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Family Medicine Current Accepting new patients
Border Region MH Mr Community Center Family Medicine CurrentSince May 23, 2024 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Jan 5, 2026 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Feb 1, 2016 Accepting new patients
Mariposa Community Health Center, Inc Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Feb 1, 2016 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.

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

Verify at the official NPI Registry.