SAN PEDRO HEALTH PLLC
NPI 1245501188
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sierra Vista, AZ

Active since January 24, 2012
4151 LA LINDA WAY, SUITE # 102, SIERRA VISTA, AZ 85635(520) 515-9610(520) 515-0031 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Pedro Health Pllc NPPES

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

SAN PEDRO HEALTH PLLC (NPI 1245501188) is a healthcare organization registered as a mental health (including community mental health center) in Sierra Vista, Arizona and active in the NPI registry since January 2012. The organization lists James Phillip Reed, Manager, as its authorized official.

NPPES Registry Identity

NPI1245501188
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSAN PEDRO HEALTH PLLC
Location Address4151 LA LINDA WAY, SUITE # 102Sierra Vista, AZ 85635-4600
Mailing Address4151 La Linda Way, Suite # 102Sierra Vista, AZ 85635-4600 · (520) 515-9610 · Fax (520) 515-0031
Fax(520) 515-0031
Organization SubpartNo
Authorized OfficialJames Phillip ReedManager · (520) 515-9610
Enumeration DateJanuary 24, 2012
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1245501188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in AZ · 2845
4151 LA LINDA WAY, Sierra Vista, AZ 85635

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Pedro Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Pedro Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1790719441
4151 LA LINDA WAY SUITE 102
Sierra Vista, AZ 85635
(520) 515-9610
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Pedro Health PLLC's NPI number?

The NPI number for San Pedro Health PLLC is 1245501188. It was assigned to this organization in the NPPES registry on January 24, 2012.

Where is San Pedro Health PLLC located?

San Pedro Health PLLC is located at 4151 La Linda Way Suite # 102, Sierra Vista, AZ 85635. The listed phone number is (520) 515-9610.

What is San Pedro Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is San Pedro Health PLLC enrolled in Medicare?

Yes. San Pedro Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Pedro Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to San Pedro Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does San Pedro Health PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list San Pedro Health PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Pedro Health PLLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.