Organization Active NPI

Blue Horizons Clinic

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1437389509
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2178 Issued in AZ
Legal business name
BLUE HORIZONS CLINIC
Practice address
1150 W 24TH St Ste F
Yuma, AZ 85364-8368
Phone
(928) 782-3819
Fax
(928) 783-6623
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Mrs. Norma Sonnentag, PA-CNPI 1396841102
Title
Owner
Phone
(928) 782-3819

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2178 AZ Primary

Addresses

Primary practice location

1150 W 24TH St Ste F
Yuma, AZ 85364-8368

Mailing address

1150 W 24TH St Ste F
Yuma, AZ 85364-8368
Phone (928) 782-3819

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1437389509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W 24TH ST STE F",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648368",
            "telephone_number": "928-782-3819",
            "fax_number": "928-783-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W 24TH ST STE F",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648368",
            "telephone_number": "928-782-3819",
            "fax_number": "928-783-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZONS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "SONNENTAG",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-782-3819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.