Organization Active NPI

Mindful Medical Management LLC

  • Primary Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1932091097
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MINDFUL MEDICAL MANAGEMENT LLC
Practice address
4500 E Speedway Blvd Ste 112
Tucson, AZ 85712-5304
Phone
(520) 784-3809
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Nicholas Aaron Tjalas
Title
Chief Financial Officer
Phone
(520) 784-3809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4500 E Speedway Blvd Ste 112
Tucson, AZ 85712-5304

Mailing address

4500 E Speedway Blvd Ste 112
Tucson, AZ 85712-5304
Phone (520) 784-3809

National Provider Directory

National Provider Directory

Locations

7620 N Hartman Ln
Ste 179
Tucson, AZ 85743
Phone (520) 280-0404

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1932091097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E SPEEDWAY BLVD STE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125304",
            "telephone_number": "520-784-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SPEEDWAY BLVD STE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125304",
            "telephone_number": "520-784-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "TJALAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-784-3809"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.