Organization Active NPI

El Dorado Hospital

Doing business as El Dorado Hospital Rehab

  • Rehabilitation Hospital Unit
  • Tucson, AZ
National Provider Identifier
1942299649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H-3500 Issued in AZ
Legal business name
EL DORADO HOSPITAL
Doing business as
El Dorado Hospital Rehab
Practice address
1400 N Wilmot Rd
Tucson, AZ 85712-4409
Phone
(520) 721-5116
NPI assigned
Oct 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nate Tanpiengco
Title
Corporate Sr VP - Cfo
Phone
(520) 324-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H-3500 AZ Primary

Addresses

Primary practice location

1400 N Wilmot Rd
Tucson, AZ 85712-4409

Mailing address

1400 N Wilmot Rd
Tucson, AZ 85712-4409

Other identifiers 1

IdentifierTypeStateIssuer
840365MedicaidAZ

Other names 1

  • El Dorado Hospital Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942299649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124409",
            "telephone_number": "520-721-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANPIENGCO",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "CORPORATE SR VP - CFO",
        "authorized_official_telephone_number": "520-324-1160"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AZ",
            "license": "H-3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840365",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado Hospital Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.