NPIMap

Organization Active NPI

Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • San Luis, AZ
National Provider Identifier
1043324932
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SUNSET COMMUNITY HEALTH CENTER INC
Practice address
815 E Cesar Chavez Blvd
San Luis, AZ 85349
Phone
(928) 627-3822
Fax
(928) 539-5579
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Mr. David Rogers
Title
Executive Director
Phone
(928) 819-8999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OTC0558 AZ
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

815 E Cesar Chavez Blvd
San Luis, AZ 85349

Mailing address

2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8999

Other identifiers 2

IdentifierTypeStateIssuer
OTC0558OtherAZLICENSE
433061MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031201000540 AZ Part B Supplier - Clinic/Group Practice 4587569843 Receives reassigned benefits from 38 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Luis, AZ; Somerton, AZ; Wellton, AZ; Yuma, AZ
O20080211000865 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4587569843 1 other NPI on this enrollment
Practice locations: San Luis, AZ

Federally qualified health center certification: CCN 031822

Legal name
SUNSET COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 14, 1996
Last certification
Feb 14, 1996
Ownership / control type
For profit – corporation
Most recent change of ownership
Jan 1, 1998 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 8, 2007 in AZ
Enrollment address
815 E Cesar Chavez Blvd
San Luis, AZ 85349-2017

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Manuel Figueroa Individual Corporate OfficerBoard President Feb 5, 2004
Corporate DirectorBoard President Feb 5, 2004
Ching Wang Individual Corporate OfficerCmo Jan 1, 2013 100%
Carlos Arroyo Individual Corporate OfficerVice President Dec 9, 2007
Sunset Community Health Center Inc Organization, San Luis, AZ Corporation Other Oct 8, 2007 100%
Whitney Sims Individual Corporate OfficerCfo Jan 1, 2013
Zonia Pelroy Individual Corporate OfficerCoo Jun 27, 2016
David Rogers Individual Corporate OfficerCeo Nov 8, 2005 100%
W-2 Managing Employee Nov 8, 2005
Josephine N Smith Individual Corporate OfficerBoard Treasurer Nov 6, 2003

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunset Community Health Center IncSomerton, AZ, CCN 031805 Federally qualified health center Other (100%) Jan 1, 1998
Sunset Community Health Center IncWellton, AZ, CCN 031824 Federally qualified health center Other (100%) Jan 1, 1998
Sunset Community Health Center IncYuma, AZ, CCN 031937 Federally qualified health center Other (100%) Jan 1, 1998

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1043324932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8999",
            "fax_number": "928-539-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E CESAR CHAVEZ BLVD",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-627-3822",
            "fax_number": "928-539-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-819-8999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "OTC0558",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OTC0558",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433061",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

Verify at the official NPI Registry.