Individual provider Active NPI

Sanjay Lamba, M.D.

  • Nephrology Physician
  • Mesa, AZ
National Provider Identifier
1619060449
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
28678 Issued in AZ
Practice address
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone
(480) 834-9039
Fax
(480) 964-7802
NPI assigned
Oct 2, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 28678 AZ Primary

Addresses

Primary practice location

612 W Baseline Rd
Mesa, AZ 85210-6041

Mailing address

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Other identifiers 1

IdentifierTypeStateIssuer
528432MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041123001235 TX Practitioner - Nephrology 6204891708 Reassigns benefits to 2 organizations
I20060314000054 AZ Practitioner - Nephrology 6204891708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Kidney Associates PLCGroup PAC ID 4284611286, 27 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

3042 W Queen Creek Rd
Hu Hu Kam Memorial Hospital
Chandler, AZ 85286-0038
Phone (602) 528-1200

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Kidney Associates PLC Nephrology CurrentSince Dec 26, 2000 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 20, 2018 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Apr 27, 2001 Accepting new patients
Gila River Health Care CurrentSince Apr 27, 2001 Accepting new patients
Clinica la Familia, PC Internal Medicine PastSince Aug 1, 2003 Accepting new patients

Locations (25 of 31)

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1041 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 836-5883

1637 E Monument Plaza Cir
Ste 1
Casa Grande, AZ 85122
Phone (520) 405-8361

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

1600 W Chandler Blvd
Ste 110
Chandler, AZ 85224
Phone (480) 524-0990

3511 S Mercy Rd
Ste 102
Gilbert, AZ 85297

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

5860 S Hospital Dr
Ste 102
Globe, AZ 85501
Phone (928) 402-0491

3555 Western Ave
Kingman, AZ 86409
Phone (928) 757-8440

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

1830 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-0777

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

48203 W Farrell Rd
Maricopa, AZ 85139
Phone (520) 568-3881

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170

6750 E Baywood Ave
Ste 505
Mesa, AZ 85206

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

21321 E Ocotillo Rd
Ste 134
Queen Creek, AZ 85142
Phone (480) 899-1696

22715 S Ellsworth Rd
Bldg G
San Tan Valley, AZ 85142
Phone (480) 677-2463

37100 N Gantzel Rd
Ste 113
San Tan Valley, AZ 85140
Phone (480) 325-8173

37200 N Gantzel Rd
Ste 230
San Tan Valley, AZ 85140
Phone (480) 325-8173

11000 N Scottsdale Rd
Ste 195
Scottsdale, AZ 85254
Phone (480) 300-5388

Interoperability endpoints

  • Direct secure messaging: gehslamba@yourcarecommunity.org
  • Direct secure messaging: slamba23264@direct.acumenmd.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1619060449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBA",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "28678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528432",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.