Individual provider Active NPI

Maria Guadalupe Santos-Rojo, PA

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1912540378
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7761 Issued in AZ
Practice address
2175 N Alma School Rd
Suite a-104
Chandler, AZ 85224
Phone
(480) 275-4415
Fax
(480) 275-4577
NPI assigned
Oct 17, 2019
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7761 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2175 N Alma School Rd
Suite a-104
Chandler, AZ 85224

Mailing address

2175 N Alma School Rd
Suite a-104
Chandler, AZ 85224
Phone (480) 275-4415

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
I20200826001875 AZ Practitioner - Physician Assistant 4981021680 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Medicine LLC Physician Assistant CurrentSince Aug 1, 2020 Accepting new patients
Optum Medical Group II Rhodes P C PastSince Oct 1, 2019 Accepting new patients

Locations

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

5501 N 19th Ave
Ste 218
Phoenix, AZ 85015
Phone (602) 242-1221

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

9169 W Van Buren St
Tolleson, AZ 85353
Phone (602) 283-5732

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1912540378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD",
            "address_2": "SUITE A-104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-275-4415",
            "fax_number": "480-275-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD",
            "address_2": "SUITE A-104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-275-4415",
            "fax_number": "480-275-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-ROJO",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7761",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.