Active NPI
Jonathan Delossantos, P.A.
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1780080549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5881
- Practice address
- 2152 S Vineyard Ste 131
Mesa, AZ 85210 - Phone
- (480) 788-8539
- Fax
- (844) 538-9355
- NPI assigned
- Nov 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5881 | AZ | Primary |
Addresses
Primary practice location
2152 S Vineyard Ste 131
Mesa, AZ 85210
Mailing address
2152 S Vineyard Ste 131
Mesa, AZ 85210-6882
Phone (480) 788-8539
Other practice location 1
7425 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6411
Phone (480) 285-2180
Other practice location 2
7261 S Broadway Ste 10L
Littleton, CO 80122-8017
Phone (855) 538-9355 ext. 410
Other practice location 3
7425 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6411
Phone (480) 285-2180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5881 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan del Sordi Staats, DO PLLC | Past | Accepting new patients | |
| Flow Rheumatology, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1821515222
-
- Rheumatology Physician
- Scottsdale, AZ
- NPI 1023633195
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1649776105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1780080549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 S VINEYARD STE 131",
"city": "MESA",
"state": "AZ",
"postal_code": "852106882",
"telephone_number": "480-788-8539",
"fax_number": "844-538-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2152 S VINEYARD STE 131",
"city": "MESA",
"state": "AZ",
"postal_code": "85210",
"telephone_number": "480-788-8539",
"fax_number": "844-538-9355"
}
],
"practiceLocations": [
{
"address_1": "7425 E Shea Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606411",
"country_code": "US",
"telephone_number": "480-285-2180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7261 S Broadway Ste 10L",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801228017",
"country_code": "US",
"telephone_number": "855-538-9355 x410",
"fax_number": "844-538-9355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7425 E Shea Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606411",
"country_code": "US",
"telephone_number": "480-285-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOSSANTOS",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-06",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.