Organization Active NPI

Sonoran Skin Cancer Treatment Centers, LLC

  • Radiation Oncology Physician
  • Mesa, AZ
National Provider Identifier
1902305899
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
14068 Issued in AZ
Legal business name
SONORAN SKIN CANCER TREATMENT CENTERS, LLC
Practice address
1425 Greenfield Road
Mesa, AZ 85206
Phone
(480) 981-3000
Fax
(480) 924-6339
NPI assigned
Feb 6, 2018
Last updated
Feb 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Authorized official

Name
Mr. Carlos Alberto Caballero, MSC, DABR
Title
Manager
Phone
(480) 267-2641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 14068 AZ Primary

Addresses

Primary practice location

1425 Greenfield Road
Mesa, AZ 85206

Mailing address

21882 N Ingram CT
Maricopa, AZ 85138-9499
Phone (480) 267-2641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1902305899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21882 N INGRAM CT",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851389499",
            "telephone_number": "480-267-2641",
            "fax_number": "480-418-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GREENFIELD ROAD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-981-3000",
            "fax_number": "480-924-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SKIN CANCER TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-267-2641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC, DABR"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "14068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.