Organization Active NPI

Desert Transplants, P.C.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1386619955
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20860000X Issued in AZ
Legal business name
DESERT TRANSPLANTS, P.C.
Practice address
1300 N 12TH St Ste 409
Phoenix, AZ 85006-2848
Phone
(602) 253-2262
Fax
(602) 253-7191
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Dr. Alfredo Jose Fabrega, M.D., FACS
Title
President
Phone
(602) 253-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20860000X AZ Primary

Addresses

Primary practice location

1300 N 12TH St Ste 409
Phoenix, AZ 85006-2848

Mailing address

1300 N 12TH St Ste 409
Phoenix, AZ 85006-2848
Phone (602) 253-2262

Other identifiers 1

IdentifierTypeStateIssuer
402834MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1386619955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 409",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-253-2262",
            "fax_number": "602-253-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 409",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-253-2262",
            "fax_number": "602-253-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT TRANSPLANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "FABREGA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-253-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20860000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402834",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.