DR. SARA IRENE NIETO MD
NPI 1063353126
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 02, 2026PECOS Enrolled
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5084 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sara Irene Nieto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARA IRENE NIETO MD (NPI 1063353126) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1063353126
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SARA IRENE NIETOCredential: MD
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2084 W Ontario AveCorona, CA 92882-5627 · (951) 207-7132
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1063353126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 E ROOSEVELT ST, Phoenix, AZ 85008

Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 406-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sara Irene Nieto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Nieto's NPI number?

The NPI number for Sara Nieto is 1063353126. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Sara Nieto located?

Sara Nieto practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5084.

What is Sara Nieto's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sara Nieto enrolled in Medicare?

Yes. Sara Nieto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Nieto was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.