Organization Active NPI

Downtown Medical Group, P.C.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1295787372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
288440MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.