NPIMap

Organization Active NPI

Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
National Provider Identifier
1063433720
Registry record updated Apr 5, 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
2060 W 24TH St
Yuma, AZ 85364-6123
Phone
(928) 819-8999
Fax
(928) 539-5579
NPI assigned
Jul 21, 2006
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2060 W 24TH St
Yuma, AZ 85364-6123

Mailing address

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

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
O20080211000867 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4587569843 1 other NPI on this enrollment
Practice locations: Yuma, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063433720. Details of each certification follow.

Federally qualified health center certification: CCN 031823

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 9, 1997 in AZ
Enrollment address
2060 W 24TH St
Yuma, AZ 85364-6123

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

Locations

7040 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 200-6709

3800 W 24th St
Yuma, AZ 85364
Phone (928) 336-1953

675 S Avenue B
Bldg A
Yuma, AZ 85364
Phone (928) 539-3140

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Maria Ramirez Individual Corporate DirectorBoard Member Jan 11, 2018
Adriana Martinez Anaya Individual Corporate DirectorBoard Secretary Jan 3, 2019
Fernie Quiroz Individual Corporate DirectorBoard Member Jul 20, 2015
Manuel Figueroa Individual Corporate DirectorBoard Member Feb 5, 2004
Ching Wang Individual Corporate OfficerCmo Jan 1, 2013
Veronica Shorr Individual Corporate DirectorBoard Member Jul 11, 2019
Carlos Arroyo Individual Corporate DirectorBoard President Oct 3, 2024
Christopher Kasid Individual Corporate DirectorBoard Member Jun 1, 2023
Luis Cabrera Individual Corporate DirectorBoard Member Jan 1, 2023
Russell Tyndall Individual Corporate DirectorBoard Member Jun 1, 2023
Whitney Sims Individual Corporate OfficerCfo Jan 1, 2013 100%
Zonia Pelroy Individual Corporate Officer Jun 27, 2016
Josefa Uriarte Individual Corporate DirectorBoard Vice President May 2, 2013
David Rogers Individual Corporate OfficerCeo Nov 8, 2005
W-2 Managing Employee Nov 8, 2005
Jonathan Leonard Individual Corporate OfficerCeo Mar 29, 2024
Josephine N Smith Individual Corporate DirectorBoard Treasurer Jan 1, 2013

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

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 IncSan Luis, AZ, CCN 031822 Federally qualified health center Other (100%) Oct 8, 2007
Sunset Community Health Center IncYuma, AZ, CCN 031937 Federally qualified health center Other (100%) Jan 1, 1998

Owned or controlled facilities with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1063433720",
    "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": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8999",
            "fax_number": "928-539-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.