Active NPI
Tempe Advanced Surgery Center PLLC
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
National Provider Identifier
1558076224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TEMPE ADVANCED SURGERY CENTER PLLC
- Practice address
- 4860 E Baseline Rd Ste 101
Mesa, AZ 85206-4670 - Phone
- (480) 485-8585
- Fax
- (480) 302-7818
- NPI assigned
- Jan 17, 2023
- 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
- John James Debarros, MD
- Title
- Owner
- Phone
- (480) 292-5145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4860 E Baseline Rd Ste 101
Mesa, AZ 85206-4670
Mailing address
4860 E Baseline Rd Ste 101
Mesa, AZ 85206-4670
Phone (480) 485-8585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1558076224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 E BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852064670",
"telephone_number": "480-485-8585",
"fax_number": "480-302-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 E BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852064670",
"telephone_number": "480-485-8585",
"fax_number": "480-302-7818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPE ADVANCED SURGERY CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-17",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "DEBARROS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-292-5145",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.