Individual provider Active NPI

Sarah Christine Ontiveros, AGNP-C

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1043695018
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP7841 Issued in AZ
Practice address
5750 W Thunderbird Rd
Suite B200
Glendale, AZ 85306-4660
Phone
(602) 375-1700
Fax
(602) 978-1225
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP7841 AZ Primary

Addresses

Primary practice location

5750 W Thunderbird Rd
Suite B200
Glendale, AZ 85306-4660

Mailing address

77E Thomas Rd 230
Phoenix, AZ 85012-3100
Phone (602) 557-0007

Other identifiers 1

IdentifierTypeStateIssuer
045154MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028002737 AZ Practitioner - Nurse Practitioner 8729397955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

Hospital & facility affiliations

  • City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC CurrentSince Nov 1, 2018 Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: sontiveros145079@cityofhope.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1043695018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77E THOMAS RD 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123100",
            "telephone_number": "602-557-0007",
            "fax_number": "602-557-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD",
            "address_2": "SUITE B200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064660",
            "telephone_number": "602-375-1700",
            "fax_number": "602-978-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "SARAH",
        "middle_name": "CHRISTINE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP7841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045154",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.