Organization
SAG, LLC
Active
Organization
SAG, LLC
Active
Other names
Center For Pain Control, Center for Pain control
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MATA-ESPINOZA (CREDENTIALING COORDINATOR)
(602) 687-8219
Entity
Organization
Contact information
Practice address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 889-9401
(602) 269-7772
Mailing address
4220 N 20TH AVE, PHOENIX, AZ 85015-5124
(602) 889-9401
(602) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444776
—
AZ
Enumeration date
02/25/2009
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up