Mairelis Zaldivar-Salazar

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

AL7702 H Issued in AZ

Practice address

10008 W Bloch Rd
Tolleson, AZ 85353-4446

Phone

(602) 621-2931

Fax

(623) 398-8666

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marys Group Home LLC

  • Assisted Living Facility
  • Tolleson, AZ
  • NPI 1376320374
  NPD Authorized official

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1336474618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 W BLOCH RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534446",
            "telephone_number": "602-621-2931",
            "fax_number": "623-398-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 W BLOCH RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534446",
            "telephone_number": "602-621-2931",
            "fax_number": "623-398-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR-SALAZAR",
        "first_name": "MAIRELIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AZ",
            "license": "AL7702 H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-0278545",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ALH7198",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Winfield
• Bridgid Wright, RN
• Anjelica Maria Yapura, RN
• Maurice Edgar Young, M.D.
• Collin Zaffery, RPH
• Andre Zargar, DMD

• Ambulatory Family Planning Facility in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Ambulatory Family Planning Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.