Organization Active NPI

Alliance Medical Senior Care LLC

  • Internal Medicine Physician
  • Anthem, AZ
National Provider Identifier
1174440150
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLIANCE MEDICAL SENIOR CARE LLC
Practice address
42104 N Venture Dr Ste D118
Anthem, AZ 85086-3837
Phone
(623) 505-6565
Fax
(623) 551-5567
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Alicia Baer
Title
Practice Manager
Phone
(623) 552-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

42104 N Venture Dr Ste D118
Anthem, AZ 85086-3837

Mailing address

42104 N Venture Dr Ste D118
Anthem, AZ 85086-3837
Phone (623) 505-6565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1174440150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE D118",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863837",
            "telephone_number": "623-505-6565",
            "fax_number": "623-551-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE D118",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863837",
            "telephone_number": "623-505-6565",
            "fax_number": "623-551-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-552-3756"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.