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

San Carlos Apache Healthcare Corporation

Organization Emergency Medicine Physician · NPI 1992154694

San Carlos Apache Healthcare Corporation is an Emergency Medicine Physician in Peridot, Arizona. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

103 Medicine Way Rd
Peridot, AZ 85542
Phone: (928) 475-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1992154694
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSan Carlos Apache Healthcare Corporation
Authorized official Victoria Began — Interim Ceo · (928) 475-1200
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing addressPo Box 787, Peridot, AZ 85542-0787

Other providers in Peridot