Active NPI
Edgar Alexander Pastora, MD
- Family Medicine Physician
- Surprise, AZ
National Provider Identifier
1477255677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 80119
- Practice address
- 15800 N Litchfield Rd Ste 150
Surprise, AZ 85374-5516 - Phone
- (623) 478-3100
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 80119 | AZ | Primary |
Addresses
Primary practice location
15800 N Litchfield Rd Ste 150
Surprise, AZ 85374-5516
Mailing address
15800 N Litchfield Rd Ste 150
Surprise, AZ 85374-5516
Phone (623) 478-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260619002188 | AZ | Practitioner - Family Practice | 7618440728 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1533 W Missouri Ave
Apt 6
Phoenix, AZ 85015-2637
525 W Brown Rd
Mesa, AZ 85201-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80119 | AZ | MD | Family Medicine Physician |
Interoperability endpoints
- edgar.pastora.1@24378.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1477255677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15800 N LITCHFIELD RD STE 150",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745516",
"telephone_number": "623-478-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 N LITCHFIELD RD STE 150",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745516",
"telephone_number": "623-478-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORA",
"first_name": "EDGAR",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "80119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.