Desert Senita Community Health Center
A Medicare group practice based in Arizona City, AZ: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3476441866), with 20 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3476441866
- Provider type
- DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- AZ
- Enrollments
- 8
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 13
Enrollment records 8
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20250402001079 | AZ | DME Supplier - Pharmacy | 1487399937 |
| O20250506000658 | AZ | Part A Provider - Federally Qualified Health Center (FQHC) | 1386419927 |
| O20241017001319 | AZ | Part A Provider - Federally Qualified Health Center (FQHC) | 1932974672 |
| O20250312000965 | AZ | DME Supplier - Pharmacy | 1164751285 |
| O20250107002354 | AZ | Part B Supplier - Pharmacy | 1164751285 |
| O20040308000777 | AZ | Part B Supplier - Clinic/Group Practice | 1114037496 |
| O20100824000857 | AZ | Part A Provider - Federally Qualified Health Center (FQHC) | 1114037496 |
| O20220817003214 | AZ | Part A Provider - Federally Qualified Health Center (FQHC) | 1548794142 |
NPIs in this group 8
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Desert Senita Community Health Center
- Federally Qualified Health Center (FQHC)
- Ajo, AZ
- NPI 1114037496
-
Desert Senita Community Health Center
- Community/Retail Pharmacy
- Ajo, AZ
- NPI 1164751285
-
Desert Senita Community Health Center
- Federally Qualified Health Center (FQHC)
- Coolidge, AZ
- NPI 1386419927
-
Desert Senita Community Health Center
- Community/Retail Pharmacy
- Arizona City, AZ
- NPI 1487399937
-
Desert Senita Community Health Center
- Federally Qualified Health Center (FQHC)
- Arizona City, AZ
- NPI 1548794142
-
Desert Senita Community Health Center
- Federally Qualified Health Center (FQHC)
- Stanfield, AZ
- NPI 1932974672
-
Desert Senita Community Health Center
- Federally Qualified Health Center (FQHC)
- Arizona City, AZ
- NPI 1447124326
-
Desert Senita Community Health Center
- Federally Qualified Health Center (FQHC)
- Casa Grande, AZ
- NPI 1891512927
Practice locations
- Ajo, AZ4
- Arizona City, AZ4
- Coolidge, AZ2
- Stanfield, AZ2
- Casa Grande, AZ1
Clinicians 20
Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (12).
-
Wyatt Alan Agnew, MFT INTERN
- Marriage & Family Therapist
- Mesa, AZ
- NPI 1538751771
-
Jennifer Kathleen Beatty-Kwan, MD PHD
- Family Medicine Physician
- Arizona City, AZ
- NPI 1225862402
-
Gorky Herrera, M.D.
- Psychiatry Physician
- Ajo, AZ
- NPI 1740222025
-
Thomas Eugene Horst, MD
- Family Medicine Physician
- Ajo, AZ
- NPI 1871642082
-
Brian David Jones, MPT
- Physical Therapist
- Ajo, AZ
- NPI 1720063282
-
Fatima Ayodele Lah, FNP
- Family Nurse Practitioner
- Laveen, AZ
- NPI 1477053338
-
Jennifer K Lim, DDS
- Dentist
- Ajo, AZ
- NPI 1245258748
-
Elias Lu, DTCM, AP, APRN
- Family Nurse Practitioner
- North Port, FL
- NPI 1417956848
-
Antonio Martinez Barrera
- Medical Physician Assistant
- Nogales, AZ
- NPI 1255077632
-
Nannette Lee Miller, MSN, FNP-C
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1437753753
-
Petra Rosa Mojica
- Family Nurse Practitioner
- Arizona City, AZ
- NPI 1457922783
-
Sue A Moler, PSYD
- Clinical Psychologist
- Arizona City, AZ
- NPI 1265000384
-
Gilbert Joseph Montano, FNP-BC
- Family Nurse Practitioner
- Arizona City, AZ
- NPI 1821286915
-
Boru Nale, M.D.
- Family Medicine Physician
- San Manuel, AZ
- NPI 1497949226
-
Tommy Nguyen, MD
- General Practice Physician
- Tempe, AZ
- NPI 1821385592
-
Boriana Rousseva Nikolova, FNP-BC
- Family Nurse Practitioner
- Ajo, AZ
- NPI 1598432585
-
Annabel Owusu
- Psychiatric/Mental Health Nurse Practitioner
- Arizona City, AZ
- NPI 1588975452
-
Jonathan Vasquez Rodriguez, DMD
- General Practice Dentistry
- Queen Creek, AZ
- NPI 1609560176
-
John Charles Sauer, FNP
- Family Nurse Practitioner
- Ajo, AZ
- NPI 1588136998
-
Sonia Ivonne Villanueva, NP-C
- Family Nurse Practitioner
- Casa Grande, AZ
- NPI 1366006199
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.