NPIMap

Sunset Community Health Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Yuma, AZ

NPI 1063433720 · NPPES record last updated Apr 5, 2024

Key facts

NPI
1063433720
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 5

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

Other NPIs on the same Medicare enrollment 6

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

Other NPIs with the same Medicare PAC ID 4

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

Practitioners 69

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

View all 69

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AZ

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
Corporation · Non-profit
Incorporated
Oct 9, 1997 in AZ
Enrollment address
2060 W 24TH St
Yuma, AZ 85364-6123

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

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 Inc
Somerton, AZ · CCN 031805		 Federally qualified health center Other (100%) Jan 1, 1998
Sunset Community Health Center Inc
Wellton, AZ · CCN 031824		 Federally qualified health center Other (100%) Jan 1, 1998
Sunset Community Health Center Inc
San Luis, AZ · CCN 031822		 Federally qualified health center Other (100%) Oct 8, 2007
Sunset Community Health Center Inc
Yuma, AZ · CCN 031937		 Federally qualified health center Other (100%) Jan 1, 1998

Medicare enrollment records

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

National Provider Directory

Locations

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

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

930 S Avenue C
Yuma, AZ 85364
Phone (928) 819-8999

1201 W 12th St
Yuma, AZ 85364
Phone (928) 819-8999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223G0001X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

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

Other identifiers

IdentifierTypeStateIssuer
433061MedicaidAZ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433061",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

All providers in Yuma, AZ · Federally Qualified Health Center (FQHC) in Arizona

Sources for this page

Verify at the official NPI Registry.