CARONDELET MEDICAL GROUP, INC
NPI 1659326585
Family Medicine in Tucson, AZ

Active since May 22, 2006CLIA 03D2169374 · Waiver
2202 N. FORBES BLVD, TUCSON, AZ 85745(520) 872-7790(520) 872-7929 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carondelet Medical Group, Inc NPPES

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

CARONDELET MEDICAL GROUP, INC (NPI 1659326585) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Christen A Castellano, Executive Vice President, Chief Str, as its authorized official.

NPPES Registry Identity

NPI1659326585
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARONDELET MEDICAL GROUP, INC
Location Address2202 N. FORBES BLVDTucson, AZ 85745-1412
Mailing Address2202 N. Forbes BlvdTucson, AZ 85745-1412 · (520) 872-7790 · Fax (520) 872-7929
Fax(520) 872-7929
Organization SubpartNo
Authorized OfficialChristen A CastellanoExecutive Vice President, Chief Str · (520) 872-7638
Enumeration DateMay 22, 2006
Last NPPES UpdateJune 27, 2013
NPI 1659326585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSpecialistTaxonomy 174400000X
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2202 N. FORBES BLVD, Tucson, AZ 85745

Other Identifiers 2

Medicaid653298AZ
Medicare PINZ28667AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2169374
Facility Type
Practitioner Other
Certificate Effective Date
July 18, 2025
Certificate Expiration Date
July 17, 2027
Laboratory Director
KERMIT MURRAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carondelet Medical Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2202 N. FORBES BLVD
TUCSON, AZ 85745

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659326585, enumerated as an "organization" on May 22, 2006.

The provider is located at 2202 N. FORBES BLVD TUCSON, AZ 85745 and the phone number is (520) 872-7790.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.