Individual provider Active NPI

Samuel Toledano Sr.

  • Medical Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1780512632
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
21244-2751 Issued in AZ
Practice address
20827 N Cave Creek Rd Ste 106
Phoenix, AZ 85024-4471
Phone
(602) 471-7007
NPI assigned
May 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 21244-2751 AZ Primary

Addresses

Primary practice location

20827 N Cave Creek Rd Ste 106
Phoenix, AZ 85024-4471

Mailing address

20827 N Cave Creek Rd Ste 106
Phoenix, AZ 85024-4471
Phone (602) 471-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21244-2751AZMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
St Cosmetics Medical Specialty CurrentSince Nov 9, 2025 Accepting new patients

Locations

20827 N Cave Creek Rd
Ste 106
Phoenix, AZ 85024
Phone (602) 471-7007

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1780512632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20827 N CAVE CREEK RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244471",
            "telephone_number": "602-471-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20827 N CAVE CREEK RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244471",
            "telephone_number": "602-471-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDANO",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "21244-2751",
            "primary": true
        }
    ],
    "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 May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.