NPIMap

Organization Active NPI

Chicanos Por la Causa Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1104173046
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH4031 Issued in AZ
Legal business name
CHICANOS POR LA CAUSA INC
Practice address
1402 South Central Ave
Phoenix, AZ 85000-2801
Phone
(602) 257-0700
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Edmundo Hidalgo
Title
Ceo
Phone
(602) 257-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH4031 AZ Primary

Addresses

Primary practice location

1402 South Central Ave
Phoenix, AZ 85000-2801

Mailing address

1112 E Buckeye Rd
Phoenix, AZ 85034-4043
Phone (602) 257-0700

Other identifiers 1

IdentifierTypeStateIssuer
112219MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Chicanod Por la Causa10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1104173046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344043",
            "telephone_number": "602-257-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 SOUTH CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850002801",
            "telephone_number": "602-257-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICANOS POR LA CAUSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-257-0700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112219",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.