Organization Active NPI

Sam E Sato, MD,PC

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1528367158
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14768 Issued in AZ
Legal business name
SAM E SATO, MD,PC
Practice address
3910 N Campbell Ave
Tucson, AZ 85719-1428
Phone
(520) 323-2466
Fax
(520) 323-2968
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Dr. Sam Edwin Sato, MD
Title
President
Phone
(520) 323-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 14768 AZ Primary

Addresses

Primary practice location

3910 N Campbell Ave
Tucson, AZ 85719-1428

Mailing address

3910 N Campbell Ave
Tucson, AZ 85719-1428
Phone (520) 323-2466

Other identifiers 1

IdentifierTypeStateIssuer
247751MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3910 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-2466

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1528367158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191428",
            "telephone_number": "520-323-2466",
            "fax_number": "520-323-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191428",
            "telephone_number": "520-323-2466",
            "fax_number": "520-323-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM E SATO, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "SATO",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-323-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "14768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247751",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.