Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mirage Anesthesia LLC

Organization Anesthesiology Physician · NPI 1639002892

Mirage Anesthesia LLC is an Anesthesiology Physician in Tempe, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612
Phone: (480) 425-2160
Fax: (480) 839-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1639002892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Lopez — Owner · (480) 425-2160
NPI enumeratedJune 6, 2026
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026
Mailing addressPo Box 41150, Mesa, AZ 85274-1150

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