Organization Active NPI

Lotus Transitional Health Services

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Peoria, AZ
National Provider Identifier
1023354677
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
5032 Issued in AZ
Legal business name
LOTUS TRANSITIONAL HEALTH SERVICES
Practice address
9570 W Quail Ave
Peoria, AZ 85382-0562
Phone
(602) 920-1817
Fax
(623) 243-9945
NPI assigned
Dec 28, 2012
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Christine M. Estrada, D.O.
Title
President
Phone
(602) 920-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 5032 AZ Primary

Addresses

Primary practice location

9570 W Quail Ave
Peoria, AZ 85382-0562

Mailing address

19801 N 59TH Ave
#11424
Glendale, AZ 85318-5001
Phone (602) 920-1817

National Provider Directory

National Provider Directory

Locations

19801 N 59th Ave
Unit 11424
Glendale, AZ 85318
Phone (602) 920-1817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1023354677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 N 59TH AVE",
            "address_2": "#11424",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853185001",
            "telephone_number": "602-920-1817",
            "fax_number": "623-243-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 W QUAIL AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820562",
            "telephone_number": "602-920-1817",
            "fax_number": "623-243-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS TRANSITIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-920-1817",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.