Individual provider Active NPI

Monica Burgos, CH

  • Community Health Worker
  • Tubac, AZ
National Provider Identifier
1457242596
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1006 Lombard Way
Tubac, AZ 85646
Phone
(602) 697-1134
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1006 Lombard Way
Tubac, AZ 85646

Mailing address

1910 E Frontage Rd # 81
Tumacacori, AZ 85640-9997
Phone (602) 697-1134

Other practice location 1

28 Farmstead Dr
Galena, IL 61036-8737
Phone (602) 697-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1457242596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E FRONTAGE RD # 81",
            "city": "TUMACACORI",
            "state": "AZ",
            "postal_code": "856409997",
            "telephone_number": "602-697-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 LOMBARD WAY",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "85646",
            "telephone_number": "602-697-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Farmstead Dr",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610368737",
            "country_code": "US",
            "telephone_number": "602-697-1134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tubac, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.