Organization Active NPI

SMSJ Tucson Holdings, LLC

Doing business as Medical Mall at Rita Ranch

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1659731057
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SMSJ TUCSON HOLDINGS, LLC
Doing business as
Medical Mall at Rita Ranch
Practice address
8290 S Houghton Rd
Tucson, AZ 85747-9723
Phone
(520) 872-3100
NPI assigned
Feb 26, 2016
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Cristian Cormier
Title
Cfo
Phone
(915) 747-2634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

8290 S Houghton Rd
Tucson, AZ 85747-9723

Mailing address

395 N Silverbell Rd
Suite 185
Tucson, AZ 85745-2675
Phone (520) 609-2509

Other names 1

  • Medical Mall at Rita Ranch Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1659731057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD",
            "address_2": "SUITE 185",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452675",
            "telephone_number": "520-609-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479723",
            "telephone_number": "520-872-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMSJ TUCSON HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "915-747-2634"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Mall at Rita Ranch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Mall at Rita Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 3, 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.