Organization Active NPI

Santa Cruz Urology Care Clinic LLC

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1245043744
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SANTA CRUZ UROLOGY CARE CLINIC LLC
Practice address
6001 E Grant Rd
Tucson, AZ 85712-2316
Phone
(520) 497-5010
Fax
(520) 497-4111
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Marissa Nunez
Title
Owner and Admin
Phone
(520) 497-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6001 E Grant Rd
Tucson, AZ 85712-2316

Mailing address

6001 E Grant Rd
Tucson, AZ 85712-2316
Phone (520) 497-5010

Other practice location 1

507 N Western Ave
Nogales, AZ 85621-2060
Phone (520) 497-5010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408001857 AZ Part B Supplier - Clinic/Group Practice 8325562697 Receives reassigned benefits from 4 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1245043744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122316",
            "telephone_number": "520-497-5010",
            "fax_number": "520-497-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122316",
            "telephone_number": "520-497-5010",
            "fax_number": "520-497-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856212060",
            "country_code": "US",
            "telephone_number": "520-497-5010",
            "fax_number": "520-497-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANTA CRUZ UROLOGY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER AND ADMIN",
        "authorized_official_telephone_number": "520-497-5010"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.