Organization Active NPI

Affiliated General Surgeon II PC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1245291392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5663 Issued in AZ
Legal business name
AFFILIATED GENERAL SURGEON II PC
Practice address
4550 N 51St Ave
Suite #65
Phoenix, AZ 85031
Phone
(623) 846-7608
Fax
(623) 848-9572
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Agusto Antonio Toraya, MD
Title
President
Phone
(623) 846-7608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5663 AZ Primary

Addresses

Primary practice location

4550 N 51St Ave
Suite #65
Phoenix, AZ 85031

Mailing address

4550 N 51St Ave
Suite #65
Phoenix, AZ 85031
Phone (623) 846-7608

Other identifiers 1

IdentifierTypeStateIssuer
220450MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5757 W Thunderbird Rd
Ste W308
Glendale, AZ 85306
Phone (602) 439-6839

4550 N 51st Ave
Ste 65
Phoenix, AZ 85031
Phone (623) 846-7608

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245291392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 N 51ST AVE",
            "address_2": "SUITE #65",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85031",
            "telephone_number": "623-846-7608",
            "fax_number": "623-848-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 N 51ST AVE",
            "address_2": "SUITE #65",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85031",
            "telephone_number": "623-846-7608",
            "fax_number": "623-848-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED GENERAL SURGEON II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORAYA",
        "authorized_official_first_name": "AGUSTO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-846-7608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "5663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.