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Jonathan Christian Saavedra

Student in an Organized Health Care Education/Training Program

Student, Health Care

18701 N 67th Ave, Glendale, AZ 85308-7100

PECOS Enrollment

This provider is enrolled in PECOS as JONATHAN SAAVEDRA.

Based on the most recent information from CMS, provider Jonathan Christian Saavedra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1740984954
Provider Type
Individual
Full Name
Saavedra, Jonathan Christian
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/30/2023
Last Updated
1/28/2025

Contact Information

Practice Location

18701 N 67th Ave, Glendale, AZ 85308-7100

(623) 561-1000

Unlisted Fax

Mailing Location

18701 N 67th Ave, Glendale, AZ 85308-7100

(623) 561-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License 4351050839 Michigan

Jonathan Christian Saavedra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Wanjohi, Jennifer

Sesi, Christopher

Rezk, Bassem

Szafarowicz, Bianca Ewa

Peach, Marylee Faith

Wiertek, Marcellina

Moore, Riley Dale

Dellostritto, Daniel Justin

Navarrete, Cristhian Adrian

Yanuszeski, Craig Vincent