Sam Afshar, D.O
Individual provider Active NPI Anesthesiology Physician · Tucson, AZ
NPI 1891136487 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1891136487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 006956 (AZ)
- Practice address
- 1501 N Campbell Ave
University of Arizona
Tucson, AZ 85724-0001 - Phone
- (520) 626-2761
- NPI assigned
- Jul 11, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Anesthesiology Consultants Inc
Practice addresses (Care Compare)
1500 S Dobson Rd
Suite 101
Mesa, AZ 85202-4722
Phone (480) 412-3577
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381
3535 N Scottsdale Rd
Scottsdale, AZ 85251-5625
Phone (480) 882-4365
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Hospital & facility affiliations
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Scottsdale Osborn Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170519002064 | AZ | Practitioner - Anesthesiology | 7113294208 | Reassigns benefits to 1 organization |
| I20201013003319 | CA | Practitioner - Anesthesiology | 7113294208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16747 | CA | MD | Acupuncturist |
| R2279 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Permanente Medical Group Inc | Anesthesiology | Current |
Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current |
Accepting new patients |
Locations
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2025 Morse Ave
Sacramento, CA 95825
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R2279 | AZ | |
| Anesthesiology Physician | 207L00000X | 006956 | AZ | Yes |
Addresses
Primary practice location
1501 N Campbell Ave
University of Arizona
Tucson, AZ 85724-0001
Mailing address
University of Arizona
1501 N.Campbell Ave
Tucson, AZ 85724-5040
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.