Nestor N. Nazareno MD PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

23491 Issued in AZ

Legal business name

NESTOR N. NAZARENO MD PC

Practice address

14420 W Meeker Blvd Ste 109
Sun City West, AZ 85375-5287

Phone

(623) 544-3522

Fax

(623) 544-3520

NPI assigned

Aug 8, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Marie Agredasalas, M.A.

Title

Practice Manager

Phone

(623) 544-3522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1639360118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 W MEEKER BLVD STE 109",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755287",
            "telephone_number": "623-544-3522",
            "fax_number": "623-544-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 W MEEKER BLVD STE 109",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755287",
            "telephone_number": "623-544-3522",
            "fax_number": "623-544-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESTOR N. NAZARENO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "AGREDASALAS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-544-3522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AZ",
            "license": "23491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Legal Medicine in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.