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

Mr. Alfredo Altamirano, PA-C, MPAS

Individual provider Surgical Physician Assistant · NPI 1699876862

Mr. Alfredo Altamirano, PA-C, MPAS is a Physician Assistant in Tucson, Arizona. Qualified in 2004, 22 years ago. Practices with Prairie Ridge Hospital and Health Services, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
22
Licensed in
AZ, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4275 N Rillito Creek Pl
Tucson, AZ 85719-1164
Phone: (520) 548-1150
Fax: (520) 795-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 S Park St, Madison, WI 53715-1830 — (608) 251-6100

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2632 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 8526-23 (WI)

Record details

NPI number1699876862
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Prairie Ridge Hospital And Health Services — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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