Organization Active NPI

Compassionate Surgical Care, LLC

  • Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1912589656
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COMPASSIONATE SURGICAL CARE, LLC
Practice address
8752 E Via de Commercio Ste 2
Scottsdale, AZ 85258-3396
Phone
(602) 772-2382
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Marco Valerio Canulla X, MDNPI 1194700286
Title
Owner
Phone
(602) 571-6521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8752 E Via de Commercio Ste 2
Scottsdale, AZ 85258-3396

Mailing address

2990 E Northern Ave Ste C103
Phoenix, AZ 85028-4839
Phone (602) 772-2382

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1912589656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE C103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284839",
            "telephone_number": "602-772-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 E VIA DE COMMERCIO STE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583396",
            "telephone_number": "602-772-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE SURGICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "CANULLA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "VALERIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-571-6521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.