Active NPI
Frederick Carranza, M.D.
- Hospitalist Physician
- Phoenix, AZ
National Provider Identifier
1225007636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 31214
- Practice address
- 10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-3452 - Phone
- (602) 789-0344
- Fax
- (602) 789-8389
- NPI assigned
- Mar 16, 2006
- Last updated
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31214 | AZ | |
| Hospitalist Physician | 208M00000X | 31214 | AZ | Primary |
Addresses
Primary practice location
10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-3452
Mailing address
10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-3452
Phone (602) 789-0344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762262-01 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1225007636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10835 NORTH 25TH AVENUE",
"address_2": "SUITE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293452",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10835 NORTH 25TH AVENUE",
"address_2": "SUITE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293452",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRANZA",
"first_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31214",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "31214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762262-01",
"state": "AZ"
}
],
"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 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.