NPIMap

Organization Active NPI

Pacific Sonoran Anesthesia LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1467975011
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
42847 Issued in AZ
Legal business name
PACIFIC SONORAN ANESTHESIA LLC
Practice address
9815 N 95TH St
Scottsdale, AZ 85258-4546
Phone
(480) 407-6400
Fax
(480) 407-6520
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Matthew T Crooks, MDNPI 1609914662
Title
Physician/Owner
Phone
(480) 407-6402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 42847 AZ Primary

Addresses

Primary practice location

9815 N 95TH St
Scottsdale, AZ 85258-4546

Mailing address

17505 N 79TH Ave Ste 304E
Glendale, AZ 85308-8729
Phone (480) 407-6400

Other identifiers 1

IdentifierTypeStateIssuer
42847OtherAZAZ MD LIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171004002791 AZ Part B Supplier - Clinic/Group Practice 4082989801 Receives reassigned benefits from 25 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

17505 N 79th Ave
Ste 304E
Glendale, AZ 85308

17505 N 79th Ave
Ste 304D
Glendale, AZ 85308

9815 N 95th St
Scottsdale, AZ 85258
Phone (800) 626-7054

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1467975011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 304E",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088729",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584546",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SONORAN ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "480-407-6402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "42847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MD LIC",
            "identifier": "42847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2025; 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.