Individual provider Active NPI

Sean Paul Royal Dorado, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1881645596
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3038 Issued in AZ
Practice address
2720 South 6TH Avenue
Tucson, AZ 85713-4701
Phone
(520) 475-5418
Fax
(520) 300-8034
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3038 AZ Primary

Addresses

Primary practice location

2720 South 6TH Avenue
Tucson, AZ 85713-4701

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (520) 475-5418

Other practice location 1

155 Calle Portal
Ste. 100
Sierra Vista, AZ 85635-2900
Phone (520) 459-3011 ext. 7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000885 AZ Practitioner - Physician Assistant 5294797908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945

2720 S 6TH Ave
Tucson, AZ 85713-4701
Phone (520) 475-5418

3820 N Oracle Rd
Tucson, AZ 85705-3227
Phone (520) 200-6707

Hospital & facility affiliations

  • Benson Hospital Hospital, Benson, AZ, CCN 031301
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3038AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Jul 1, 2021 Accepting new patients
Codac Health Recovery and Wellness PastSince Mar 24, 2024 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

890 W 4th St
Benson, AZ 85602
Phone (520) 586-3664

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1881645596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "520-475-5418",
            "fax_number": "520-300-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SOUTH 6TH AVENUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134701",
            "telephone_number": "520-475-5418",
            "fax_number": "520-300-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Calle Portal",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352900",
            "country_code": "US",
            "telephone_number": "520-459-3011 x7519",
            "fax_number": "520-515-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORADO",
        "first_name": "SEAN PAUL",
        "middle_name": "ROYAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.