Active NPI
Antonio Casino Sabal Sr., M.D.
- Adult Medicine Physician
- Phoenix, AZ
National Provider Identifier
1851501258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 10597
- Practice address
- 18325 N Allied Way Ste 105
Phoenix, AZ 85054-3106 - Phone
- (480) 991-3399
- Fax
- (480) 719-3993
- NPI assigned
- May 23, 2007
- Last updated
- Sep 29, 2011
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 10597 | AZ | Primary |
Addresses
Primary practice location
18325 N Allied Way Ste 105
Phoenix, AZ 85054-3106
Mailing address
403 W Crofton St
Chandler, AZ 85225-7140
Phone (480) 892-9686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z117689 | Other | AZ | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Pain & Rehab LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1013207505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1851501258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W CROFTON ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257140",
"telephone_number": "480-892-9686",
"fax_number": "480-892-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18325 N ALLIED WAY STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850543106",
"telephone_number": "480-991-3399",
"fax_number": "480-719-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABAL",
"first_name": "ANTONIO",
"middle_name": "CASINO",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AZ",
"license": "10597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z117689",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Michael Carl Saavedra, MD
- Saba Haq MD a Professional Medical Corporation (NUMO Health)
- Saba Integrated Behavioral Health Services, LLC
- Saba Integrated Behavioral Health Services, LLC
- Saba Integrated Behavioral Health Services, LLC
- Claudio Sabal, MD
- James Adolph Sabata, BHT, CASE MANAGER
- Arash Alen Sabati, M.D.
- Caroline A. Sabatino, AUD
- Steven S Sabatino, DDS, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.