Active NPI
Anesthesia Medical Professionals, PC
- Specialist
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Santiago Lardizabal, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Sun City West, AZ
- NPI 1447440326
Locations
17505 N 79th Ave
Ste 409
Glendale, AZ 85308
Phone (623) 584-9985
3687 Wheeler Rd
Augusta, GA 30909
Practitioners 47
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1619956034
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.