NPIMap

Organization Active NPI

Sandstone Medical Alliance LLC

  • Vascular Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1295621886
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SANDSTONE MEDICAL ALLIANCE LLC
Practice address
6040 N 7TH St Ste 105
Phoenix, AZ 85014-1803
Phone
(602) 277-7430
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Martin P Zomaya, MDNPI 1467744490
Title
Medical Doctor
Phone
(248) 421-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

6040 N 7TH St Ste 105
Phoenix, AZ 85014-1803

Mailing address

7000 N 16TH St Ste 120-233
Phoenix, AZ 85020-5512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260610000260 AZ Part B Supplier - Clinic/Group Practice 1759852775 Receives reassigned benefits from 12 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

7000 N 16th St
Ste 120233
Phoenix, AZ 85020

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1295621886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST STE 120-233",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 N 7TH ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141803",
            "telephone_number": "602-277-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE MEDICAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "ZOMAYA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "248-421-8151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 18, 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.