Organization Active NPI

Clearpath Family Health LTD

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1225356157
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1647 Issued in AZ
Legal business name
CLEARPATH FAMILY HEALTH LTD
Practice address
7725 N 43Rd Ave Ste 720
Phoenix, AZ 85051-5772
Phone
(623) 207-5465
Fax
(623) 207-5405
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Shaun C a Romero
Title
President
Phone
(602) 819-9608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1647 AZ Primary

Addresses

Primary practice location

7725 N 43Rd Ave Ste 720
Phoenix, AZ 85051-5772

Mailing address

7725 N 43Rd Ave Ste 720
Phoenix, AZ 85051-5772
Phone (623) 207-5465

Other identifiers 2

IdentifierTypeStateIssuer
24102601MedicaidAZ
Z137678OtherPTAN

National Provider Directory

National Provider Directory

Locations

7725 N 43rd Ave
Ste 211
Phoenix, AZ 85051
Phone (623) 207-5464

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1225356157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE STE 720",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515772",
            "telephone_number": "623-207-5465",
            "fax_number": "623-207-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE STE 720",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515772",
            "telephone_number": "623-207-5465",
            "fax_number": "623-207-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARPATH FAMILY HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "C A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-819-9608"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24102601",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z137678",
            "state": null
        }
    ],
    "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 Oct 9, 2020; 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.