Community Dialysis Center LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

5215 Issued in AZ

Legal business name

COMMUNITY DIALYSIS CENTER LLC

Practice address

4525 Campus Drive
Sierra Vista, AZ 85635

Phone

(520) 459-5959

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Lucy Burciaga, MDNPI 1497835649

Title

Owner Ceo

Phone

(520) 459-5959

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucy Burciaga, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1497835649
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861580086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 PASEO BRAZOS",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352375",
            "telephone_number": "520-459-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMPUS DRIVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-459-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCIAGA",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "520-459-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Nephrology Physician in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.