Individual provider Active NPI

Pinky P Villamor, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
National Provider Identifier
1669794079
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0915 Issued in AZ
Practice address
8901 E Raintree Dr Ste 100
Scottsdale, AZ 85260
Phone
(480) 767-2100
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9319826 FL
Certified Registered Nurse Anesthetist 367500000X 082794 NC
Certified Registered Nurse Anesthetist 367500000X CRNA0915 AZ Primary

Addresses

Primary practice location

8901 E Raintree Dr Ste 100
Scottsdale, AZ 85260

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 483-5850

Other practice location 2

4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 483-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000304 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052506300 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians
Biltmore Surgical Partners LLCGroup PAC ID 3476693995, 3 clinicians

Practice addresses (Care Compare)

1500 S Dobson Rd
Suite 101
Mesa, AZ 85202-4722
Phone (480) 412-3577

19646 N 27TH Ave
Suite 101
Phoenix, AZ 85027-4025
Phone (480) 633-3097

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
082794NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Surgical Partners LLC CurrentSince May 1, 2019 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Jul 28, 2014 Accepting new patients
Mesa Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2023 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2020 Accepting new patients
Arlington Anesthesia Group, PLLC CurrentSince Jan 4, 2022 Accepting new patients
Amsurg North Valley Anesthesia LLC CurrentSince Feb 13, 2013 Accepting new patients
Biltmore Surgical Partners, LLC CurrentSince Sep 23, 2024 Accepting new patients
Arizona Digestive Health, PC CurrentSince Feb 16, 2019 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2017 Accepting new patients
Az Care Anesthesia , PLC CurrentSince Feb 16, 2019 Accepting new patients
Neighborhood Hospice LLC Current Accepting new patients
Summit Anesthesia Partners Nurse Anesthetist, Certified Registered Past Accepting new patients
North Florida Anesthesia Consultants, Inc. Past Accepting new patients
Globe Crna Company, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Christian L Koppel MD PA Past Accepting new patients
Hospice MD PLLC PastSince Jan 26, 2025 Accepting new patients
Florida Anesthesia Associates P a Past Accepting new patients
East Valley Endoscopy LLC PastSince Mar 26, 2018 Accepting new patients
Jax Anesthesia Providers LLC Past Accepting new patients

Locations (25 of 36)

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5823 W Eugie Ave
Ste B
Glendale, AZ 85304
Phone (602) 424-4050

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

6020 E Arbor Ave
Ste 101
Mesa, AZ 85206
Phone (480) 985-1700

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

15255 N 40th St
Ste 157
Phoenix, AZ 85032
Phone (602) 482-1001

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

2813 E Camelback Rd
Phoenix, AZ 85016
Phone (602) 354-5659

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1410 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 716-9655

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neighborhood Hospice LLCGlendale, AZ, CCN 001582 Hospice 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Jul 13, 2024
Jul 13, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 1

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1669794079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 E RAINTREE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-767-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Belfort Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566004",
            "country_code": "US",
            "telephone_number": "904-483-5850",
            "fax_number": "904-483-5860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Belfort Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566004",
            "country_code": "US",
            "telephone_number": "904-483-5850",
            "fax_number": "904-483-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAMOR",
        "first_name": "PINKY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9319826",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "082794",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.