Active NPI
Regan Buzzelli City, PAC
- Physician Assistant
- Scottsdale, AZ
National Provider Identifier
1467419937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2591
- Practice address
- 3501 N Scottsdale Rd
#130
Scottsdale, AZ 85251-5648 - Phone
- (480) 425-5000
- Fax
- (480) 425-5010
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2591 | AZ | Primary |
Addresses
Primary practice location
3501 N Scottsdale Rd
#130
Scottsdale, AZ 85251-5648
Mailing address
PO Box 3114
Scottsdale, AZ 85271-3114
Phone (480) 425-5063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 642464 | Medicaid | AZ |
Other names 1
- Regan Christine Buzzelli
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Medical Imaging, LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1407823610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1467419937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3114",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852713114",
"telephone_number": "480-425-5063",
"fax_number": "480-425-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD",
"address_2": "#130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515648",
"telephone_number": "480-425-5000",
"fax_number": "480-425-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITY",
"first_name": "REGAN",
"middle_name": "BUZZELLI",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "642464",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGAN",
"last_name": "BUZZELLI",
"middle_name": "CHRISTINE",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.