Trusted Care East Valley Az, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TRUSTED CARE EAST VALLEY AZ, LLC

Practice address

1114 S Higley Road Ste 101
Mesa, AZ 85206

Phone

(602) 715-1654

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Wayne Destefano

Title

Manager

Phone

(602) 715-1654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972024917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504272",
            "fax_number": "480-499-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S HIGLEY ROAD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "602-715-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED CARE EAST VALLEY AZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-715-1654"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Truong, DMD
• Julie Phuong Truong
• Linh Truong
• Wayne Truong, MD, PHD, FRCSC
• Samantha Truscott, COTA
• Stephanie R Tsen, DAC, LAC
• Melissa Dianne Tuck, SLP
• Bridget Tucker
• Cheyann Tucker, RN
• Jaclyn Tucker

• Ambulatory Surgical Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.