Active NPI
Rio Vista Surgical Associates, P.C.
- Surgery Physician
- Lake Havasu City, AZ
National Provider Identifier
1699765834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24387
- Legal business name
- RIO VISTA SURGICAL ASSOCIATES, P.C.
- Practice address
- 90 Riviera Dr
Lake Havasu City, AZ 86403-5716 - Phone
- (928) 453-2900
- Fax
- (877) 864-6566
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abedon Abe Saiz Jr., MD
- Title
- MD/Owner
- Phone
- (928) 453-2900
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24387 | AZ | Primary |
| Vascular Surgery Physician | 2086S0129X | 24387 | AZ |
Addresses
Primary practice location
90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Mailing address
90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Phone (928) 453-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423878 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Rio Vista Surgical Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Parker, AZ
- NPI 1821434184
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Lake Havasu City, AZ
- NPI 1477542934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492041600000",
"number": "1699765834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 RIVIERA DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035716",
"telephone_number": "928-453-2900",
"fax_number": "877-864-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 RIVIERA DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035716",
"telephone_number": "928-453-2900",
"fax_number": "877-864-6566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO VISTA SURGICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2017-04-13",
"status": "A",
"authorized_official_last_name": "SAIZ",
"authorized_official_first_name": "ABEDON",
"authorized_official_middle_name": "ABE",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "928-453-2900",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "24387",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "24387",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "423878",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
- Renal Care Group Arizona, LLC (Renal Care Group - Lake Havasu)
- Rheumatology & Arthritis Consultants, PLLC
- Christy Jolene Richmond, NURSE PRACTITIONER
- David Ridder, M.D.
- Erin Riggert
- River Cities United Way
- River Medical Inc (American Medical Response; AMR)
- Riviera Primary Care
- Albert Nicholas Rizzo, MD
- Andrew Roberts, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.