Cuauhtemoc Gallardo-Prado, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67041 Issued in AZ

Practice address

1060 E Southern Ave Ste 106
Mesa, AZ 85204-5058

Phone

(480) 870-7400

Fax

(480) 906-2174

NPI assigned

Dec 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Archwell Health Professional Services of Arizona, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1558026880
  Medicare reassignment NPD
• Latino Care, LLC

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1982031795
  Medicare reassignment NPD
• Latino Care, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1497510721
  NPD

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1700116605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E SOUTHERN AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045058",
            "telephone_number": "480-870-7400",
            "fax_number": "480-906-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 N 35th Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850175270",
            "country_code": "US",
            "telephone_number": "023-536-6566",
            "fax_number": "602-442-2065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDO-PRADO",
        "first_name": "CUAUHTEMOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R71439",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "67041",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "67041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte A Galindo
• Marguerite R Galindo, MS, FNP-C, RN
• Shannon Galish, PT
• Riley Gallagher
• Juan Angel Gallardo Ramirez
• David Gallegos, NMD
• Luz Fernanda Gallegos, PTA
• Melissa Carol Galletta, PAC
• Aubrey Galley, MC, LPC
• Derek Galliher

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.