Organization Active NPI

Impact Medical Group

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1346706306
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
IMPACT MEDICAL GROUP
Practice address
7325 E Fayette St
Tucson, AZ 85730-2324
Phone
(520) 203-8101
NPI assigned
Feb 14, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Angelina Sanchez
Title
Ceo
Phone
(520) 987-1818

National Provider Directory

National Provider Directory

Locations

870 W Miracle Mile
Tucson, AZ 85705
Phone (520) 750-9667

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

7325 E Fayette St
Tucson, AZ 85730-2324

Mailing address

2114 W Grant Rd # 78
Tucson, AZ 85745-1141
Phone (520) 987-1818

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2023.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1346706306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 W GRANT RD # 78",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451141",
            "telephone_number": "520-987-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 E FAYETTE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302324",
            "telephone_number": "520-203-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-987-1818"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.