Organization Active NPI

Santa Cruz Radiology L L C

  • Diagnostic Radiology Physician
  • Nogales, AZ
National Provider Identifier
1346291044
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SANTA CRUZ RADIOLOGY L L C
Practice address
1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone
(520) 722-8994
NPI assigned
May 15, 2006
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Joshua A WalshNPI 1174558092
Title
MD
Phone
(520) 722-8994

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
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1171 W Target Range Rd
Nogales, AZ 85621-2415

Mailing address

2492 E River Rd
Tucson, AZ 85718-9552
Phone (520) 722-8994

Other identifiers 1

IdentifierTypeStateIssuer
450792MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ Other Management Services Network, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, DC, CA, MD, FL, MN, NY, NJ, PR, MI, TX, CO, MS, MA, VT, NV, PA, DE, VA, KY, KS, WI, OR, WA, NE, IN26 enrollments

Enrollment records 26

Enrollment IDStateProvider typePAC IDDetails
O20040715000380 AZ Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 34 practitioners
Practice locations: Bullhead City, AZ; Green Valley, AZ; Nogales, AZ; Safford, AZ; Scottsdale, AZ; Sierra Vista, AZ
O20210615000517 DC Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, VA; Potomac, MD
O20210618000118 CA Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 13 practitioners
Practice locations: Cupertino, CA; Danville, CA; Irvine, CA; Mission Viejo, CA; Roseville, CA; Newport Coast, CA; Walnut Creek, CA; San Luis Obispo, CA…
O20211014001656 MD Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD
O20211015000334 FL Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 7 practitioners
Practice locations: Lantana, FL; Lynn Haven, FL; Orlando, FL; St Petersburg, FL; Wesley Chapel, FL; Windermere, FL
O20211022001710 MN Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 2 practitioners
Practice locations: Edina, MN; Plymouth, MN
O20211025000315 NY Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 2 practitioners
Practice locations: Mineola, NY; Valley Stream, NY
O20220214002161 NJ Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 3 practitioners
Practice locations: Galloway, NJ; Hoboken, NJ; Hamilton, NJ
O20220217002215 PR Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR
O20220218001000 MI Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, MI; Grand Rapids, MI
O20220228002286 TX Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 5 practitioners
Practice locations: Beaumont, TX; Plano, TX; Houston, TX; Dallas, TX; Longview, TX
O20220228002453 CO Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20220425001821 MS Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS
O20220428002533 MA Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA; Framingham, MA; Hopkinton, MA; Worcester, MA
O20221003000298 VT Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Killington, VT
O20231030002085 NV Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20231031001177 PA Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Girard, PA
O20231031001424 DE Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, DE
O20231106001684 VA Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 2 practitioners
Practice locations: Ashburn, VA; Williamsburg, VA
O20231201001717 KY Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Crestwood, KY
O20240328002886 KS Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20240521002771 WI Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, WI; Middleton, WI
O20240715003172 OR Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR
O20241231000830 WA Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA
O20260109001244 NE Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20260403000820 IN Part B Supplier - Clinic/Group Practice 7012996952 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1346291044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189552",
            "telephone_number": "520-722-8994",
            "fax_number": "520-624-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212415",
            "telephone_number": "520-722-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ RADIOLOGY L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "520-722-8994"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450792",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1036.1",
            "affiliationName": "Management Services Network, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2357 Warm Springs Rd Ste 400",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319046874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.