NPIMap

Organization Active NPI

Sonoran Vein and Endovascular LLC

  • Ambulatory Surgical Clinic/Center
  • Peoria, AZ
National Provider Identifier
1699666255
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SONORAN VEIN AND ENDOVASCULAR LLC
Practice address
9192 W Union Hills Dr Ste 103
Peoria, AZ 85382-8209
Phone
(602) 374-4101
Fax
(602) 441-0522
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
David Nye, DONPI 1558623793
Title
Cmo
Phone
(480) 363-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9192 W Union Hills Dr Ste 103
Peoria, AZ 85382-8209

Mailing address

9192 W Union Hills Dr Ste 103
Peoria, AZ 85382-8209
Phone (602) 374-4101

Other names 1

  • Sonoran Vein and Endovascular Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150824001826 AZ Part B Supplier - Ambulatory Surgical Center 1951550888 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Peoria, AZ

Ambulatory surgical center certification: CCN 03C0001365

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Sonoran Vein And Endovascular
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 24, 2015
Last certification
Mar 23, 2021
Ownership / control type
Proprietary
Most recent change of ownership
Dec 14, 2022
Facility address
9192 West Union Hills Drive
Peoria, AZ 85382

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9192 W Union Hills Dr
Ste 103
Peoria, AZ 85382

9200 W Union Hills Dr
Ste A103
Peoria, AZ 85382

3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990

222 S Summit Ave
Ste 3
Prescott, AZ 86303
Phone (928) 250-7700

3103 Clearwater Dr
Ste C
Prescott, AZ 86305

1815 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 628-1400

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1699666255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 W UNION HILLS DR STE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828209",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 W UNION HILLS DR STE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828209",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN VEIN AND ENDOVASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "480-363-7778",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoran Vein and Endovascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.