Individual provider Active NPI

Erick Torres, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1104457621
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236688 Issued in AZ
Practice address
616 E Southern Ave Ste 103
Mesa, AZ 85204-4941
Phone
(602) 569-3999
Fax
(602) 569-3887
NPI assigned
Feb 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 236688 AZ Primary

Addresses

Primary practice location

616 E Southern Ave Ste 103
Mesa, AZ 85204-4941

Mailing address

1533 E Willetta St
Phoenix, AZ 85006-2935
Phone (602) 715-2840

Other practice location 1

1533 E Willetta St
Phoenix, AZ 85006-2935
Phone (602) 715-2840

Other practice location 2

13402 N 32nd St Ste 5
Phoenix, AZ 85032-6047
Phone (602) 569-3999

Other practice location 3

7734 N 59th Ave
Glendale, AZ 85301-7816
Phone (602) 569-3999

Other practice location 4

15235 N Dysart Rd
El Mirage, AZ 85335-9738
Phone (602) 569-3999

Other practice location 5

1315 W Southern Ave
Tempe, AZ 85282-4519
Phone (602) 569-3999

Other practice location 6

301 E Cottonwood Ln # 1&2
Casa Grande, AZ 85122-2551
Phone (602) 569-3999

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
I20200306002179 AZ Practitioner - Nurse Practitioner 2567890494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

616 E Southern Ave
Suite 103
Mesa, AZ 85204-4941
Phone (602) 569-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
236688AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC CurrentSince Mar 2, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Desert Kidney Associates PLC PastSince Feb 9, 2020 Accepting new patients

Locations

301 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 421-7100

301 E Cottonwood Ln
#12
Casa Grande, AZ 85122

301 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 426-1400

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

15235 N Dysart Rd
El Mirage, AZ 85335

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

616 E Southern Ave
Mesa, AZ 85204

616 E Southern Ave
Ste 103
Mesa, AZ 85204

13402 N 32nd St
Ste 5
Phoenix, AZ 85032
Phone (623) 931-2444

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1104457621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062935",
            "telephone_number": "602-715-2840",
            "fax_number": "602-569-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044941",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1533 E Willetta St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062935",
            "country_code": "US",
            "telephone_number": "602-715-2840",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13402 N 32nd St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850326047",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7734 N 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853017816",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15235 N Dysart Rd",
            "address_purpose": "LOCATION",
            "city": "El Mirage",
            "state": "AZ",
            "postal_code": "853359738",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852824519",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Cottonwood Ln # 1&2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222551",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ERICK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "236688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.