Individual provider Active NPI

Jose Jesus Ortiz, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1760679385
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0545 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3000
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA0545 AZ Primary
Certified Registered Nurse Anesthetist 367500000X RN087235 AZ

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080331000421 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557447596 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Practice addresses (Care Compare)

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 524-4000

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN087235AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2023 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2020 Accepting new patients
Pca Anesthesia CurrentSince Jun 16, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Apr 1, 2019 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2012 Accepting new patients
Sjhmc Physician Services CurrentSince Dec 1, 2023 Accepting new patients
Saguaro Health Care Past Accepting new patients
Anesthesia Medical Proffesionals Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 26)

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

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

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

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

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

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

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

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

1848 E Thomas Rd
Ste 200
Phoenix, AZ 85016
Phone (480) 417-8096

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

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

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

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

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 10

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.

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1760679385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JOSE",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0545",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN087235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.