Organization Active NPI

Saa Healthcare LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, AZ
National Provider Identifier
1518496702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SAA HEALTHCARE LLC
Practice address
6320 W Union Hills Dr Ste 1400B
Glendale, AZ 85308-1061
Phone
(623) 688-5400
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shawn Vigneau, DC
Title
Sole MBR
Phone
(623) 688-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste 1400B
Glendale, AZ 85308-1061

Mailing address

6320 W Union Hills Dr Ste 1400B
Glendale, AZ 85308-1061
Phone (623) 688-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518496702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 1400B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081061",
            "telephone_number": "623-688-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 1400B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081061",
            "telephone_number": "623-688-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VIGNEAU",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "623-688-5400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.