Organization Active NPI

Az Healthy Permanente Management Group, Inc

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1154732840
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AZ HEALTHY PERMANENTE MANAGEMENT GROUP, INC
Doing business as
Curacion Family Medical
Practice address
4616 N 51St Ave
Suite 102
Phoenix, AZ 85031-1716
Phone
(602) 638-0620
Fax
(602) 638-0610
NPI assigned
May 15, 2014
Organization subpart
Yes
Parent organization
HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Deborah Grace
Title
Consultant
Phone
(602) 696-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4616 N 51St Ave
Suite 102
Phoenix, AZ 85031-1716

Mailing address

4616 N 51St Ave
Suite 102
Phoenix, AZ 85031-1716
Phone (602) 638-0620

Other names 1

  • Curacion Family Medical Doing business as

National Provider Directory

National Provider Directory
Part of
Az Healthy Permanente Management Group Inc

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1154732840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "602-638-0620",
            "fax_number": "602-638-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "602-638-0620",
            "fax_number": "602-638-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ HEALTHY PERMANENTE MANAGEMENT GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "602-696-3556"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curacion Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2014; 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.