MEDICARE: HOSPITALIST MEDICINE PHYSICIANS OF ARIZONA - NOGALES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician
2	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1487251799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITALIST MEDICINE PHYSICIANS OF ARIZONA - NOGALES

Provider Business Mailing Address
First Line	:	PO BOX 741658
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-1658
Country	:	US
Telephone Number	:	253-682-6040
Fax Number	:

Provider Business Practice Location Address
First Line	:	5755 S HOUGHTON RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-0236
Country	:	US
Telephone Number	:	520-324-5818
Fax Number	:

Authorized Official
Title or Position	:	SR DIRECTOR
Name	:	TARSHA SCOTT
Credential	:
Telephone Number	:	253-682-6040

Provider Enumeration Date	:	10/08/2020
Last Update Date	:	01/14/2026

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