MR. SERGIO XAVIER SANTOS BA, LISAC
NPI 1144479718
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since September 18, 2008
5501 N 19TH AVE STE 103, PHOENIX, AZ 85015(602) 589-0500(602) 314-4552 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Sergio Xavier Santos Ba, Lisac NPPES

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

MR. SERGIO XAVIER SANTOS BA, LISAC (NPI 1144479718) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LISAC-1627) and active in the NPI registry since September 2008. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1144479718
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SERGIO XAVIER SANTOSCredential: BA, LISAC
Location Address5501 N 19TH AVE STE 103Phoenix, AZ 85015
Mailing Address5501 N 19th Ave Ste 103Phoenix, AZ 85015-2451 · (602) 589-0500 · Fax (602) 314-4552
Fax(602) 314-4552
Sole ProprietorNo
Enumeration DateSeptember 18, 2008
Last NPPES UpdateJanuary 3, 2019
NPI 1144479718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in AZ · LISAC-1627
5501 N 19TH AVE STE 103, Phoenix, AZ 85015

Secondary Practice Location 1

Location 1636 N 3rd AvePhoenix, AZ 85003-1523 · Phone (602) 495-3085 ext. 1385 · Fax (602) 495-3086

Other Identifiers 1

Other600241392AZ · Magellan

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Acute Care)
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Anesthesiology
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Anesthesiology (Pain Medicine)
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Clinic/Center
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Pain Medicine (Pain Medicine)
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015

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 Sergio Santos's NPI number?

The NPI number for Sergio Santos is 1144479718. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Sergio Santos located?

Sergio Santos practices at 5501 N 19th Ave Ste 103, Phoenix, AZ 85015. The listed phone number is (602) 589-0500.

What is Sergio Santos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sergio Santos was last updated on January 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.