San Pedro Anesthesia, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SAN PEDRO ANESTHESIA, PLLC

Practice address

77 Calle Portal
Suite B260A
Sierra Vista, AZ 85635-2967

Phone

(520) 226-4338

Fax

(866) 479-4841

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

James Knott, MD

Title

Member

Phone

(520) 226-4338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1487083028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL",
            "address_2": "SUITE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-226-4338",
            "fax_number": "866-479-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL",
            "address_2": "SUITE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-226-4338",
            "fax_number": "866-479-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-226-4338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Howell Rutherford, PMHNP
• Vivian Ryu, LCSW
• Radwan Saba, MD
• Saguaro Podiatry Associates PLLC
• Vivian Salgado, NP
• San Pedro Health
• San Pedro Health PLLC
• Shirley Cortez Sanchez
• Chelsea Lee Sanders, R.D.
• Joe Anthony Santos, ACSW,LCSW,DCSW,BCD

• Anesthesiology Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.