Individual provider Active NPI

Cedric Alen Santos

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1801753264
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075
Phone
(602) 416-7600
Fax
(602) 253-5120
NPI assigned
Jan 7, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075

Mailing address

1205 S 7TH Ave Ste 105
Phoenix, AZ 85007-3913
Phone (602) 416-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319003457 AZ Practitioner - Physician Assistant 5496239238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectionsaz LLCGroup PAC ID 3072858745, 39 clinicians

Practice addresses (Care Compare)

1201 S 7TH Ave
Phoenix, AZ 85007-4075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1801753264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S 7TH AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073913",
            "telephone_number": "602-416-7600",
            "fax_number": "602-253-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850074075",
            "telephone_number": "602-416-7600",
            "fax_number": "602-253-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "CEDRIC",
        "middle_name": "ALEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.