Active NPI
George O Opudo
- Taxi
- Chandler, AZ
National Provider Identifier
1821806902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- D1A50Z
- Practice address
- 2105 N Los Altos Dr
Chandler, AZ 85224-2134 - Phone
- (520) 340-1891
- NPI assigned
- Dec 20, 2024
- Last updated
- Jan 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | D1A50Z | AZ | Primary |
Addresses
Primary practice location
2105 N Los Altos Dr
Chandler, AZ 85224-2134
Mailing address
2105 N Los Altos Dr
Chandler, AZ 85224-2134
Phone (520) 340-1891
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
| License | State | Type | Specialty |
|---|---|---|---|
| D1A50Z | AZ | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1821806902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 N LOS ALTOS DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242134",
"telephone_number": "520-340-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 N LOS ALTOS DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242134",
"telephone_number": "520-340-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPUDO",
"first_name": "GEORGE",
"middle_name": "O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-20",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "AZ",
"license": "D1A50Z",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.