Individual provider Active NPI

Arlene Lazaro, DO

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
National Provider Identifier
1790103968
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
008004 Issued in AZ
Practice address
875 N Greenfield Rd Ste 110
Gilbert, AZ 85234-5044
Phone
(480) 563-6400
Fax
(480) 563-8009
NPI assigned
Apr 3, 2014
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 008004 AZ Primary
Pain Medicine Physician 208VP0000X 008004 AZ

Addresses

Primary practice location

875 N Greenfield Rd Ste 110
Gilbert, AZ 85234-5044

Mailing address

8767 E Via de Ventura Ste 200
Scottsdale, AZ 85258-3381
Phone (480) 563-6400

Other practice location 1

984455 Nebraska Medical Ctr
Omaha, NE 68198-2107

Other practice location 2

984455 Nebraska Medical Center
omaha, NE 68198-4455

Other practice location 3

33-57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6674

Other practice location 4

984455 Nebraska Medical Ctr
Omaha, NE 68198-2107
Phone (402) 559-4200

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC PastSince Jun 26, 2022 Accepting new patients
Arizona Pain Specialists, PLLC Single Specialty PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1790103968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 E VIA DE VENTURA STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583381",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-563-6400",
            "fax_number": "480-563-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984455 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681982107",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "984455 Nebraska Medical Center",
            "address_purpose": "LOCATION",
            "city": "omaha",
            "state": "NE",
            "postal_code": "681984455",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33-57 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137902107",
            "country_code": "US",
            "telephone_number": "607-763-6674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "984455 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681982107",
            "country_code": "US",
            "telephone_number": "402-559-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "ARLENE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "008004",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "008004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.