Organization Active NPI

Summer Breeze Health LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1417716028
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SUMMER BREEZE HEALTH LLC
Practice address
3030 N Central Ave Ste 507
Phoenix, AZ 85012-2712
Phone
(800) 419-6960
Fax
(800) 419-6960
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Sandra Patricia Balinda-Kamanyire
Title
Member
Phone
(800) 419-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3030 N Central Ave Ste 507
Phoenix, AZ 85012-2712

Mailing address

3030 N Central Ave Ste 507
Phoenix, AZ 85012-2712
Phone (800) 419-6960

National Provider Directory

National Provider Directory

Locations

1002 E Indian School Rd
Phoenix, AZ 85014
Phone (800) 309-0366

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1417716028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 507",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122712",
            "telephone_number": "800-419-6960",
            "fax_number": "800-419-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 507",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122712",
            "telephone_number": "800-419-6960",
            "fax_number": "800-419-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER BREEZE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BALINDA-KAMANYIRE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-419-6960"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Mar 14, 2025; 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.