Active NPI
Mca Medical, PLLC
Doing business as MCA Wound Care
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Phoenix, AZ
National Provider Identifier
1235776204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- MCA MEDICAL, PLLC
- Doing business as
- MCA Medical, PLLC
MCA Wound Care - Practice address
- 20033 N 19TH Ave Ste 100
Phoenix, AZ 85027-4247 - Phone
- (480) 257-1950
- Fax
- (713) 510-1548
- NPI assigned
- Dec 9, 2019
- Last updated
- Aug 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernadine Moira Sykstus, MHA, CPCO, CPMA, RRT
- Title
- Compliance Officer
- Phone
- (713) 301-5707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | NU | Primary |
Addresses
Primary practice location
20033 N 19TH Ave Ste 100
Phoenix, AZ 85027-4247
Mailing address
PO Box 9080
Surprise, AZ 85374-0134
Phone (623) 974-6611
Other practice location 1
14955 W Bell Rd Unit 9080
Surprise, AZ 85374-8285
Phone (623) 628-9349
Other names 2
- MCA Medical, PLLC
- MCA Wound Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14955 W Bell Rd
Unit 9080
Surprise, AZ 85374
Phone (623) 628-9349
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Surprise, AZ
- NPI 1487603312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1235776204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9080",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853740134",
"telephone_number": "623-974-6611",
"fax_number": "623-974-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20033 N 19TH AVE STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274247",
"telephone_number": "480-257-1950",
"fax_number": "713-510-1548"
}
],
"practiceLocations": [
{
"address_1": "14955 W Bell Rd Unit 9080",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853748285",
"country_code": "US",
"telephone_number": "623-628-9349",
"fax_number": "623-691-8178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCA MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-09",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "SYKSTUS",
"authorized_official_first_name": "BERNADINE",
"authorized_official_middle_name": "MOIRA",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "713-301-5707",
"authorized_official_credential": "MHA, CPCO, CPMA, RRT"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MCA Medical, PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MCA Wound Care",
"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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.