Organization Active NPI

Arizona Primary Care Partners LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1306553656
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARIZONA PRIMARY CARE PARTNERS LLC
Practice address
720 E Thunderbird Rd Ste 3
Phoenix, AZ 85022-5396
Phone
(602) 844-4855
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Anselmo Garcia, MDNPI 1679791248
Title
Owner
Phone
(602) 844-4855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

720 E Thunderbird Rd Ste 3
Phoenix, AZ 85022-5396

Mailing address

16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702

Other identifiers 1

IdentifierTypeStateIssuer
1679791248OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118000957 AZ Part B Supplier - Clinic/Group Practice 9032580618 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1306553656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-619",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E THUNDERBIRD RD STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225396",
            "telephone_number": "602-844-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PRIMARY CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANSELMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-844-4855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679791248",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "720 E Thunderbird Rd Ste 3",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850225396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 4, 2022; 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.

Verify at the official NPI Registry.