Sanando Integrative Med Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANANDO INTEGRATIVE MED CLINIC, PLLC

Practice address

2000 E. Cesar Chavez Blvd
San Luis, AZ 85336

Phone

(928) 388-5473

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Cecilia Gonzalez Ruiz, PA

Title

Ceo

Phone

(928) 388-5473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Cecilia Gonzalez Ruiz, PA-C

  • Physician Assistant
  • Santee, CA
  • NPI 1558335414

  AZ

  Medicare reassignment
• Gilbert G Vega, PA-C

  • Physician Assistant
  • San Luis, AZ
  • NPI 1285664151
  NPD
• Tania Villicana Gonzalez, FNP

  • Family Nurse Practitioner
  • San Luis, AZ
  • NPI 1053123802
  NPD (past)
• Charles Tessier IV, DO

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1659535557

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1891450474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853490430",
            "telephone_number": "928-388-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E. CESAR CHAVEZ BLVD",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85336",
            "telephone_number": "928-388-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANANDO INTEGRATIVE MED CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ RUIZ",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-388-5473",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Luis Walk-in Clinic, Inc.
• San Luis Walk-in Clinic, Inc.
• San Luis Walk-in Clinic, Inc.
• San Luis Walk-in Clinic, Inc.
• San Luis Walk-in Clinic, Inc.
• Jose Ramon Sanchez Bastidas, NP-C
• Abraham Gerardo Sanchez
• Gerardo Ochoa Sanchez, PA
• Santa Teresa Pharmacy II LLC
• Santa Teresa Pharmacy LLC

• Family Medicine Physician in San Luis, AZ
• Providers in San Luis, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.