Organization Active NPI

Clinica del Socorro PLLC

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1114863396
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLINICA DEL SOCORRO PLLC
Practice address
702 E Bell Rd Ste 112
Phoenix, AZ 85022-6639
Phone
(602) 603-2282
Fax
(602) 603-2283
NPI assigned
Apr 28, 2026
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Patricia S Sullivan, MD MPHNPI 1861455222
Title
Director
Phone
(480) 248-5787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

702 E Bell Rd Ste 112
Phoenix, AZ 85022-6639

Mailing address

702 E Bell Rd Ste 112
Phoenix, AZ 85022-6639
Phone (602) 603-2282

National Provider Directory

National Provider Directory

Locations

702 E Bell Rd
Ste 112
Phoenix, AZ 85022
Phone (602) 493-9180

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1114863396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E BELL RD STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-603-2282",
            "fax_number": "602-603-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BELL RD STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-603-2282",
            "fax_number": "602-603-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL SOCORRO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-248-5787",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 28, 2026; 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.