Active NPI
Clinica Latina Healthcare Group LLC
- Obstetrics & Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1356447387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25201
- Legal business name
- CLINICA LATINA HEALTHCARE GROUP LLC
- Practice address
- 1108 W Indian School Rd
Suite a
Phoenix, AZ 85013-3107 - Phone
- (602) 415-1900
- NPI assigned
- Sep 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
- Ronald A Yunis, M.D.
- Title
- President
- Phone
- (602) 415-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25201 | AZ | Primary |
Addresses
Primary practice location
1108 W Indian School Rd
Suite a
Phoenix, AZ 85013-3107
Mailing address
1108 W Indian School Rd
Suite a
Phoenix, AZ 85013-3107
Phone (602) 415-1900
National Provider Directory
National Provider DirectoryLocations
1108 W Indian School Rd
Ste A
Phoenix, AZ 85013
Phone (602) 415-1900
1108 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 773-5600
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1235386731
-
- Women's Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1851448765
-
- Physician Assistant
- Phoenix, AZ
- NPI 1821508938
-
- Obstetrics & Gynecology Physician
- Encino, CA
- NPI 1548329972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1356447387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 W INDIAN SCHOOL RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133107",
"telephone_number": "602-415-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 W INDIAN SCHOOL RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133107",
"telephone_number": "602-415-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA LATINA HEALTHCARE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "YUNIS",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-415-1900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "25201",
"primary": true
}
],
"identifiers": [],
"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 Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.