Individual provider Active NPI

Donna Bella Sumayod, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1124611744
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296431 Issued in AZ
Practice address
2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492
Phone
(480) 677-8282
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016564 CA
Family Nurse Practitioner 363LF0000X 87039 NV
Family Nurse Practitioner 363LF0000X 296431 AZ Primary

Addresses

Primary practice location

2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492

Mailing address

3718 W Nancy LN
Phoenix, AZ 85041-5029
Phone (954) 258-7292

Other practice location 1

915 W 7th St
Oxnard, CA 93030-6755
Phone (805) 486-1601

Other practice location 2

430 Park Ave
Port Hueneme, CA 93041-2553
Phone (805) 487-3881

Other practice location 3

430 Park Ave
Port Hueneme, CA 93041-2553
Phone (805) 487-3881

Other practice location 4

7435 W Cactus Rd Ste 125
Peoria, AZ 85381-5300
Phone (480) 677-8282

Other names 1

  • Donna Bella Sumayod Monterde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210324000312 CA Practitioner - Nurse Practitioner 6608283445
I20230913002136 AZ Practitioner - Nurse Practitioner 6608283445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

2640 W Baseline Rd
Suite 111
Phoenix, AZ 85041-6492
Phone (480) 677-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016564CAMDFamily Nurse Practitioner
87039NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Sep 4, 2023 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 20, 2024 Accepting new patients
Good Health Medical, PLLC CurrentSince Sep 4, 2023 Accepting new patients
Medstat Inc CurrentSince Dec 31, 2023 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients
Stephen S. Hong, M.D., a Professional Corp. PastSince Aug 2, 2021 Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

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

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

11749 W Lone Mountain Pkwy
Unit 105
Peoria, AZ 85383

7435 W Cactus Rd
Ste 125
Peoria, AZ 85381

1703 W Bethany Home Rd
Ste E27
Phoenix, AZ 85015

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

2445 E Baseline Rd
Ste 133
Phoenix, AZ 85042

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

430 Park Ave
Port Hueneme, CA 93041
Phone (805) 487-3881

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

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 7

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1124611744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 W NANCY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415029",
            "telephone_number": "954-258-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W BASELINE RD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416492",
            "telephone_number": "480-677-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930306755",
            "country_code": "US",
            "telephone_number": "805-486-1601",
            "fax_number": "805-487-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Port Hueneme",
            "state": "CA",
            "postal_code": "930412553",
            "country_code": "US",
            "telephone_number": "805-487-3881",
            "fax_number": "805-487-3936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Port Hueneme",
            "state": "CA",
            "postal_code": "930412553",
            "country_code": "US",
            "telephone_number": "805-487-3881",
            "fax_number": "805-487-3936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 W Cactus Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815300",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMAYOD",
        "first_name": "DONNA BELLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "87039",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA BELLA",
            "last_name": "MONTERDE",
            "middle_name": "SUMAYOD",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.