NPIMap

Organization Active NPI

Anesthesia Medical Professionals, PC

  • Specialist
  • Sun City West, AZ
National Provider Identifier
1801849500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ANESTHESIA MEDICAL PROFESSIONALS, PC
Practice address
19424 N RH Johnson Blvd
Sun City West, AZ 85375-1409
Phone
(623) 584-9985
Fax
(623) 584-9986
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Santiago Lardizabal, MDNPI 1306813845
Title
President
Phone
(623) 584-9985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

19424 N RH Johnson Blvd
Sun City West, AZ 85375-1409

Mailing address

PO Box 7640
Surprise, AZ 85374-0110
Phone (623) 584-9985

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001453 AZ Part B Supplier - Clinic/Group Practice 6204727464 Receives reassigned benefits from 11 practitioners
Practice locations: Glendale, AZ; Peoria, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia Medical Professionals PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17505 N 79th Ave
Ste 409
Glendale, AZ 85308
Phone (623) 584-9985

5757 W Thunderbird Rd
Ste W400
Glendale, AZ 85306
Phone (602) 547-1400

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801849500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7640",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740110",
            "telephone_number": "623-584-9985",
            "fax_number": "623-584-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19424 N RH JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751409",
            "telephone_number": "623-584-9985",
            "fax_number": "623-584-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA MEDICAL PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARDIZABAL",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-584-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.