Active NPI
Downtown Medical Group, P.C.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1295787372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DOWNTOWN MEDICAL GROUP, P.C.
- Practice address
- 2610 N 3Rd St
Suite a-1
Phoenix, AZ 85004-1156 - Phone
- (602) 824-4400
- Fax
- (602) 824-4409
- NPI assigned
- May 16, 2006
- 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
- Andres M Hernandez, M.D.
- Title
- President
- Phone
- (602) 824-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2610 N 3Rd St
Suite a-1
Phoenix, AZ 85004-1156
Mailing address
2610 N 3Rd St
Suite a-1
Phoenix, AZ 85004-1156
Phone (602) 824-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288440 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
3008 N 3rd St
Ste 202
Phoenix, AZ 85012
Phone (602) 824-4400
2610 N 3rd St
#A1
Phoenix, AZ 85004
Phone (602) 824-4400
Practitioners & affiliated clinicians
Practitioners 1
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": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295787372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 N 3RD ST",
"address_2": "SUITE A-1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041156",
"telephone_number": "602-824-4400",
"fax_number": "602-824-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 N 3RD ST",
"address_2": "SUITE A-1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041156",
"telephone_number": "602-824-4400",
"fax_number": "602-824-4409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN MEDICAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "ANDRES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-824-4400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288440",
"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 Aug 22, 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.