Organization Active NPI

H3 Medical Clinic LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1457036592
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
H3 MEDICAL CLINIC LLC
Practice address
1520 W Sunrise Dr
Phoenix, AZ 85041-9137
Phone
(602) 578-0627
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Mr. Carlos Alberto Ching, FNP LIC# 250847NPI 1417543117
Title
Owner
Phone
(602) 578-0627

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 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

National Provider Directory

National Provider Directory

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": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1457036592",
    "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": {
        "organization_name": "H3 MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-578-0627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP LIC# 250847"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Oct 31, 2023; 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.