Organization Active NPI

Catalina Skin Institute, LLC

  • Clinical Medical Laboratory
  • Tucson, AZ
National Provider Identifier
1619270683
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CATALINA SKIN INSTITUTE, LLC
Practice address
4570 N 1St Ave Ste 120
Tucson, AZ 85718-8601
Phone
(520) 209-1635
NPI assigned
Dec 14, 2010
Last updated
Jul 21, 2022By the provider in NPPES
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
Naoki Kitamura
Title
Chief Executive Officer
Phone
(214) 596-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4570 N 1St Ave Ste 120
Tucson, AZ 85718-8601

Mailing address

6655 North Macarthur Boulevard
Attn: Managed Care Department
Irving, TX 75039-2443
Phone (214) 596-7031

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4570 N 1st Ave
Ste 120
Tucson, AZ 85718
Phone (520) 209-1635

7356 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 575-1007

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619270683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 NORTH MACARTHUR BOULEVARD",
            "address_2": "ATTN: MANAGED CARE DEPARTMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-596-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 N 1ST AVE STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188601",
            "telephone_number": "520-209-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA SKIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KITAMURA",
        "authorized_official_first_name": "NAOKI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-596-7031"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.