Healthcare Provider Details

I. General information

NPI: 1356203277
Provider Name (Legal Business Name): ALLIED SURGICAL CONSULTANTS AND ASSISTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7242 E OSBORN RD # 520
SCOTTSDALE AZ
85251-6487
US

IV. Provider business mailing address

7242 E OSBORN RD # 520
SCOTTSDALE AZ
85251-6487
US

V. Phone/Fax

Practice location:
  • Phone: 602-313-7772
  • Fax:
Mailing address:
  • Phone: 602-313-7772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: PETER NAKAJI
Title or Position: OWNER
Credential: MD
Phone: 602-313-7772