Organization Active NPI

Sonoran Medical Services PC

  • Vascular Surgery Physician
  • Orange, CA
National Provider Identifier
1821814971
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SONORAN MEDICAL SERVICES PC
Practice address
303 W Katella Ave Ste 302D
Orange, CA 92867-4790
Phone
(602) 374-4101
Fax
(602) 441-0522
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
David Nye, DO
Title
Owner
Phone
(480) 363-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

303 W Katella Ave Ste 302D
Orange, CA 92867-4790

Mailing address

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

National Provider Directory

National Provider Directory

Locations

303 W Katella Ave
Ste 302D
Orange, CA 92867

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1821814971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828208",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W KATELLA AVE STE 302D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674790",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-363-7778",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.