Surprise Health Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SURPRISE HEALTH CENTER, PLLC

Doing business as

Optum Primary Care

Practice address

14973 W Bell Rd
#100
Surprise, AZ 85374-3202

Phone

(623) 815-2900

Fax

(623) 583-1319

NPI assigned

Aug 31, 2006

Last updated

Sep 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Castillo

Title

Regional Manager

Phone

(702) 480-2550

Specialties & licenses 2

Addresses

Other names 1

• Optum Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Arizona Primary Care Physicians, LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1033523949

  Member Of

  NPD member

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi K Bajpai, DO

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1083798334

  Family Medicine

  Medicare reassignment NPD
• Gerald R. Bush, MD

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1811087653
  Medicare reassignment NPD
• Constantin Siclovan, M. D.

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1164613675
  Medicare reassignment NPD
• Christopher J Szoke, ANP

  • Adult Health Nurse Practitioner
  • Surprise, AZ
  • NPI 1497852396
  Medicare reassignment NPD
• Celine Tubillara Villariz, NP

  • Nurse Practitioner
  • Sun City West, AZ
  • NPI 1013268630
  Medicare reassignment NPD
• James Barton Vogt Jr., MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1740332352
  Medicare reassignment NPD
• Bradley Gerald Hall, PA-C

  • Physician Assistant
  • Surprise, AZ
  • NPI 1295761153
  Medicare reassignment
• Jacob Jones, D.P.M.

  • Podiatrist
  • Chandler, AZ
  • NPI 1720213598
  Medicare reassignment
• Ameet Tarunkumar Shukla, PA-C

  • Physician Assistant
  • Surprise, AZ
  • NPI 1447307921
  Medicare reassignment
• Paulette Leguizamon, CFNP

  • General Practice Registered Nurse
  • Surprise, AZ
  • NPI 1245340165
  NPD (past)
• Tara Maria Ostrom, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1124017009
  NPD (past)
• Humaira Shafi, M.D.

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1356576334
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693612800000",
    "number": "1467563718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16435 N SCOTTSDALE RD STE 400",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541745",
            "telephone_number": "602-675-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14973 W BELL RD",
            "address_2": "#100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743202",
            "telephone_number": "623-815-2900",
            "fax_number": "623-583-1319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 E McDowell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062508",
            "country_code": "US",
            "telephone_number": "602-609-4525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10825 W McDowell Road, Ste., 310",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853928539",
            "country_code": "US",
            "telephone_number": "602-767-1959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10825 W McDowell Road, Ste., 300",
            "address_purpose": "LOCATION",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853928539",
            "country_code": "US",
            "telephone_number": "602-767-1959",
            "fax_number": "602-767-2016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12361 W Bola Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789021",
            "country_code": "US",
            "telephone_number": "602-641-9486",
            "fax_number": "602-962-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13660 N 94th Dr Ste C4",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814841",
            "country_code": "US",
            "telephone_number": "623-583-1319",
            "fax_number": "602-884-8148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14506 W Granite Valley Dr Ste 102100",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853756010",
            "country_code": "US",
            "telephone_number": "623-395-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURPRISE HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "702-480-2550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surprise Luxury Assisted Living LLC
• Surprise MC, LLC (Mosaic Gardens at Surprise)
• Surprise Medical Consultants LLC

• Family Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.