Active NPI
Sonoran Medical Services PC
- Vascular Surgery Physician
- Orange, CA
National Provider Identifier
1821814971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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 DirectoryLocations
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.