NPIMap

Organization Active NPI

United Community Health Center - Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sahuarita, AZ
National Provider Identifier
1508730920
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.
Practice address
18861 S la Canada Dr
Sahuarita, AZ 85629-7990
Phone
(520) 407-5400
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Jon Craig Reardon
Title
Ceo
Phone
(520) 407-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

18861 S la Canada Dr
Sahuarita, AZ 85629-7990

Mailing address

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0502
Phone (520) 407-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260519001015 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4587634472 Practice locations: Sahuarita, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508730920. Details of each certification follow.

Federally qualified health center certification: CCN 031085

Legal name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC
Doing business as
LA CANADA PEDIATRICS BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 5, 2025
Last certification
Nov 5, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
18861 S la Canada Dr
Sahuarita, AZ 85629-7990

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Arivaca Clinic11 organizations share this tax ID, including this one
Part of
Arivaca Clinic

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jon C Reardon Individual W-2 Managing EmployeeCeo Jul 31, 2024
Operational/Managerial ControlCeo Jul 31, 2024
David Dixon Individual Corporate DirectorDirector of Accounting and Finance Nov 4, 2024
William Praust Individual Corporate Director Apr 1, 2004
Audrey Reida Individual Corporate Director Apr 1, 2002
Ellen Rigli Individual Corporate Director Apr 1, 2008
Mary Ann Dobson Individual Corporate DirectorBoard Member Dec 1, 2017
Kimberlee McNew Individual Operational/Managerial ControlChief Operating Officer May 12, 2025
Mary Esparza Individual Corporate DirectorBoard Member Jan 6, 2015
Anne Gresham Individual Corporate DirectorBoard Member Apr 1, 2022
Carlos Valle Individual Corporate Director Apr 1, 2025
Anna Tometczak Individual Corporate Director Jan 5, 2023
Rosa Alvarez Individual Corporate Director Apr 1, 2023
Manny Villa Individual Corporate Director Apr 1, 2025
Debbie Andrus Individual Corporate DirectorBoard Member Mar 1, 2022
Steve Knode Individual Corporate Director Apr 1, 2025
Peggy Runyon Individual Corporate Director Apr 7, 2024
Tamara Marie Olson Individual Operational/Managerial ControlChief Financial Officer Sep 9, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Three Points ClinicTucson, AZ, CCN 031803 Federally qualified health center Operational/Managerial Control Jan 1, 2004
United Community Health CenterGreen Valley, AZ, CCN 031936 Federally qualified health center Other (100%) Dec 23, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1508730920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140502",
            "telephone_number": "520-407-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18861 S LA CANADA DR",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856297990",
            "telephone_number": "520-407-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA INC.",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-407-5609"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.