Active NPI
Siena Fuentevilla
- General Practice Physician
- Scottsdale, AZ
National Provider Identifier
1306719612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11210
- Practice address
- 15125 N Scottsdale Rd Ste L1-190
Scottsdale, AZ 85254-2181 - Phone
- (480) 637-5035
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11210 | AZ | Primary |
Addresses
Primary practice location
15125 N Scottsdale Rd Ste L1-190
Scottsdale, AZ 85254-2181
Mailing address
2020 E Broadway Blvd
Tucson, AZ 85719-5936
Phone (520) 870-7454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11210 | AZ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1306719612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195936",
"telephone_number": "520-870-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15125 N SCOTTSDALE RD STE L1-190",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542181",
"telephone_number": "480-637-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTEVILLA",
"first_name": "SIENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2025-10-24",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "11210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.