Individual provider Active NPI

Edgar Alexander Pastora, MD

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1477255677
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80119 Issued in AZ
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

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
80119AZMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.