Individual provider Active NPI

Carlos Alberto Ching, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1417543117
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
250847 Issued in AZ
Practice address
1520 W Sunrise Dr
Phoenix, AZ 85041-9137
Phone
(602) 578-0627
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 250847 AZ Primary

Addresses

Primary practice location

1520 W Sunrise Dr
Phoenix, AZ 85041-9137

Mailing address

1520 W Sunrise Dr
Phoenix, AZ 85041-9137
Phone (602) 578-0627

Other names 1

  • Mr. Carlos Alberto Ching Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205001841 AZ Practitioner - Nurse Practitioner 5193139939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
250847AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
H3 Medical Clinic LLC Single Specialty CurrentSince Sep 13, 2023 Accepting new patients
Good Health Medical, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Dr. Keith Goss, PLLC Single Specialty CurrentSince Nov 28, 2022 Accepting new patients
Good Health Medical, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Good Health Medical, PLLC Single Specialty Current Accepting new patients

Locations

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

2632 S 83rd Ave
Ste 113
Phoenix, AZ 85043

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1417543117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W SUNRISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850419137",
            "telephone_number": "602-578-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W SUNRISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850419137",
            "telephone_number": "602-578-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "250847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "CHING",
            "middle_name": "ALBERTO",
            "prefix": "MR.",
            "credential": "CARLOS A. CHING, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.