NPIMap

Individual provider Active NPI

Alejandro Figueroa, PA

  • Emergency Medicine Physician
  • Glendale, AZ
National Provider Identifier
1699756171
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2545 Issued in AZ
Practice address
6702 W Bethany Home Rd
Suite 13,14, & 15
Glendale, AZ 85303-4402
Phone
(623) 435-7000
Fax
(623) 435-3947
NPI assigned
Nov 10, 2005
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2545 AZ Primary

Addresses

Primary practice location

6702 W Bethany Home Rd
Suite 13,14, & 15
Glendale, AZ 85303-4402

Mailing address

1250 South Clearview Aveune
Suite 100
Mesa, AZ 85209
Phone (480) 988-9108

Other identifiers 5

IdentifierTypeStateIssuer
AW1436OtherAZHEALTHNET GROUP
699712MedicaidAZ
39-81220OtherAZEVERCARE GROUP
453051001OtherGROUP HEALTH GROUP
86-0373636OtherAZHUMANA GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000292 AZ Practitioner - Physician Assistant 5597791046 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
East Valley Urgent Care,LLC Past Accepting new patients

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1699756171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SOUTH CLEARVIEW AVEUNE",
            "address_2": "SUITE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W BETHANY HOME RD",
            "address_2": "SUITE 13,14, & 15",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034402",
            "telephone_number": "623-435-7000",
            "fax_number": "623-435-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "2545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GROUP",
            "identifier": "AW1436",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699712",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE GROUP",
            "identifier": "39-81220",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH GROUP",
            "identifier": "453051001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GROUP",
            "identifier": "86-0373636",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.