Az Care Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AZ CARE HEALTH PLAN, INC.

Practice address

20565 N 19TH Ave
Phoenix, AZ 85027-3563

Phone

(818) 399-8996

Fax

(855) 959-2273

NPI assigned

Apr 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lan Nhu Bich Phan, MPH

Title

Chief Operating Officer

Phone

(818) 399-8996

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1003444175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 WINTHROP DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926496417",
            "telephone_number": "818-399-8996",
            "fax_number": "866-627-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20565 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273563",
            "telephone_number": "818-399-8996",
            "fax_number": "855-959-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ CARE HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "NHU BICH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "818-399-8996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.AZCarePlan.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2391 Catherine Rd",
            "city": "Altadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910012334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Maintenance Organization in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.