NPIMap

Organization Active NPI

Ton San Xavier Health Center

Doing business as San Xavier Health Center

  • Federal Public Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1437157302
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
TON SAN XAVIER HEALTH CENTER
Doing business as
San Xavier Health Center
Practice address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone
(520) 547-8140
NPI assigned
Jul 13, 2005
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mrs. Veronica Geronimo
Title
Chief Executive Officer
Phone
(520) 383-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X NU Primary

Addresses

Primary practice location

7900 S J Stock Rd
Tucson, AZ 85746-7012

Mailing address

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 547-8140

Other identifiers 6

IdentifierTypeStateIssuer
AZ0209600OtherAZBC/BSAZ DENTAL PROV NO
AZ0209620OtherAZBC/BSAZ PROV NO
1437157302OtherAZFACILITY NPI #
03D0864297OtherAZCLIA #
0325678OtherAZNACADP#
147133-03MedicaidAZ

Other names 1

  • SAN XAVIER HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000721 TX Part B Supplier - Clinic/Group Practice 6608819339 Receives reassigned benefits from 277 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 284

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 284

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1437157302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-547-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-547-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TON SAN XAVIER HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "GERONIMO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-383-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSAZ DENTAL PROV NO",
            "identifier": "AZ0209600",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSAZ PROV NO",
            "identifier": "AZ0209620",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI #",
            "identifier": "1437157302",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "03D0864297",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NACADP#",
            "identifier": "0325678",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147133-03",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN XAVIER HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2024; 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.