Active NPI
Mindful Medical Management LLC
- Primary Care Clinic/Center
- Tucson, AZ
National Provider Identifier
1932091097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.