NPIMap

Organization Active NPI

Pascua Yaqui Tribe

  • Community/Behavioral Health Agency
  • Guadalupe, AZ
National Provider Identifier
1912178997
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2283 Issued in AZ
Legal business name
PASCUA YAQUI TRIBE
Practice address
9405 S Avenida del Yaqui
Guadalupe, AZ 85283-2529
Phone
(480) 768-2021
Fax
(480) 768-2053
NPI assigned
Mar 18, 2008
Organization subpart
Yes
Parent organization
PASCUA YAQUI TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Linda Guerrero
Title
Delegated Official
Phone
(520) 879-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2283 AZ Primary

Addresses

Primary practice location

9405 S Avenida del Yaqui
Guadalupe, AZ 85283-2529

Mailing address

7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone (520) 879-6060

Other identifiers 1

IdentifierTypeStateIssuer
925422MedicaidAZ

Other names 1

  • CSP Guadalupe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220120000627 TX Part B Supplier - Clinic/Group Practice 7618033598 Receives reassigned benefits from 31 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ; Guadalupe, AZ

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Pascua Yaqui Tribe21 organizations share this tax ID, including this one
Part of
Pascua Yaqui Tribe

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1912178997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-879-6060",
            "fax_number": "520-879-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 S AVENIDA DEL YAQUI",
            "city": "GUADALUPE",
            "state": "AZ",
            "postal_code": "852832529",
            "telephone_number": "480-768-2021",
            "fax_number": "480-768-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCUA YAQUI TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASCUA YAQUI TRIBE",
        "enumeration_date": "2008-03-18",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "520-879-6039"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "925422",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSP Guadalupe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guadalupe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.