MEDICARE: ALLIED SURGICAL CONSULTANTS AND ASSISTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363AS0400X	Surgical Physician Assistant
2	163WR0006X	Registered Nurse First Assistant
3	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1356203277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED SURGICAL CONSULTANTS AND ASSISTANTS LLC

Provider Business Mailing Address
First Line	:	7242 E OSBORN RD # 520
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6487
Country	:	US
Telephone Number	:	602-313-7772
Fax Number	:

Provider Business Practice Location Address
First Line	:	7242 E OSBORN RD # 520
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6487
Country	:	US
Telephone Number	:	602-313-7772
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PETER NAKAJI
Credential	:	MD
Telephone Number	:	602-313-7772

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/06/2025

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