MR. SERGIO XAVIER SANTOS (NPI# 1144479718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144479718 |
| Entity Type | Individual |
| Full Name | MR. SERGIO XAVIER SANTOS |
| Credential | BA, LISAC |
| Practice Address |
5501 N 19th Ave Ste 103 Phoenix AZ 85015 |
| Mailing Address |
5501 N 19th Ave Ste 103 Phoenix AZ 85015-2451 |
| Practice Telephone | 6025890500 |
| Practice Fax Number | 6023144552 |
| Mailing Telephone | 6025890500 |
| Mailing Fax Number | 6023144552 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-1627 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MAGELLAN | 600241392 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 636 N 3rd Ave, Phoenix, AZ 850031523 | 6024953085 | 6024953086 |
| Street Address |
5501 N 19TH AVE STE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116278 | David K Towns | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2006-11-30 |
| 1134691173 | Ryan William Allen-brady | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2018-12-31 |
| 1578080578 | Nadine Shivers | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2017-08-29 |
| 1891178513 | Kathleen Dawn Ivers | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2015-06-30 |
| 1104237478 | Masoud Sultani | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2014-05-08 |
| 1679993794 | Susan Hesketh | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2014-04-17 |
| 1245502657 | Bonita Faye Jones | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2012-01-31 |
| 1063789568 | Mandy Neblett | Nurse Practitioner | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2011-11-28 |
| 1639303464 | My Doc LLC | Clinic/Center | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451 | 2009-05-07 |
| 1689858524 | Sun Pain Management Pllc | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| 1134747546 | Arcadian Homes, LLC | Counselor | 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 | 2020-07-13 |
| 1902423023 | Danielle Jeanette Le Blanc | Counselor | 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 | 2020-07-06 |
| 1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
| 1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
| 1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
| 1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.