Organization Active NPI

Eduardo S Alcantar MD PC

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1376650770
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN106409 Issued in AZ
Legal business name
EDUARDO S ALCANTAR MD PC
Practice address
2078 E Southern Ave Ste D101
Tempe, AZ 85282-7545
Phone
(480) 968-9890
Fax
(480) 968-9895
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Eduardo Salcido Alcantar, MD PCNPI 1184731523
Title
Owner
Phone
(480) 968-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 17509 AZ
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 3275 AZ
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X RN106409 AZ Primary

Addresses

Primary practice location

2078 E Southern Ave Ste D101
Tempe, AZ 85282-7545

Mailing address

8732 E Clarendon Ave
Scottsdale, AZ 85251-5050
Phone (480) 947-9749

Other identifiers 1

IdentifierTypeStateIssuer
277013MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2078 E Southern Ave
Tempe, AZ 85282
Phone (480) 968-9890

Practitioners & affiliated clinicians

Practitioners 3

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376650770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8732 E CLARENDON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515050",
            "telephone_number": "480-947-9749",
            "fax_number": "480-968-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 E SOUTHERN AVE STE D101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827545",
            "telephone_number": "480-968-9890",
            "fax_number": "480-968-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO S ALCANTAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALCANTAR",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "SALCIDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-968-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17509",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3275",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN106409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277013",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.