Active NPI
Arizona Medicos Inc
- Clinic/Center
- Green Valley, AZ
National Provider Identifier
1518219740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ARIZONA MEDICOS INC
- Practice address
- 120 W Calle de Las Tiendas
Green Valley, AZ 85614-4326 - Phone
- (866) 862-6414
- Fax
- (866) 851-4817
- NPI assigned
- Oct 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- DD Sande
- Title
- Credentialing Specialist
- Phone
- (520) 409-3445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
120 W Calle de Las Tiendas
Green Valley, AZ 85614-4326
Mailing address
120 W Calle de Las Tiendas
Green Valley, AZ 85614-4326
Phone (866) 862-6414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2052381 | Arizona Medicos, Inc | Certificate of waiver | Jan 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Green Valley, AZ
- NPI 1356350615
-
- Family Medicine Physician
- Green Valley, AZ
- NPI 1659569911
-
- Physician Assistant
- Green Valley, AZ
- NPI 1861375073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349913600000",
"number": "1518219740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W CALLE DE LAS TIENDAS",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856144326",
"telephone_number": "866-862-6414",
"fax_number": "866-851-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W CALLE DE LAS TIENDAS",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856144326",
"telephone_number": "866-862-6414",
"fax_number": "866-851-4817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA MEDICOS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A",
"authorized_official_last_name": "SANDE",
"authorized_official_first_name": "DD",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "520-409-3445"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
- Arizona Blood and Cancer Specialists, PLLC
- Arizona Cardiovascular Specialists, PC (The Heart Center of Southern Arizona)
- Arizona CVS Stores LLC (CVS Pharmacy 09254)
- Arizona Dental Professionals, P.C. (Dental Care at Madera Vista)
- Arizona Institute of Urology PLLC
- Arlo B Brakel MD LLC
- Aspire Hope Counseling PLLC
- Athlon Physical Therapy, LLC (Movement For Life Physical Therapy)
- Elizabeth Mable Augustine, DPT
- Carol Avila, ACNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.