NPIMap

Organization Active NPI

Chicanos Por la Causa, Inc

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1487024543
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC7328 Issued in AZ
Legal business name
CHICANOS POR LA CAUSA, INC
Practice address
325 N Stapley Dr
Mesa, AZ 85203
Phone
(480) 615-3800
Fax
(480) 834-3536
NPI assigned
Oct 1, 2015
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Mr. Andres Contreras
Title
Executive Vice President
Phone
(602) 254-4827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC7328 AZ Primary
Community/Behavioral Health Agency 251S00000X BH3365 AZ

Addresses

Primary practice location

325 N Stapley Dr
Mesa, AZ 85203

Mailing address

1112 E Buckeye Rd
Phoenix, AZ 85034-4043
Phone (602) 257-0700

Other names 1

  • Centro Esperanza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050305000056 AZ Part B Supplier - Clinic/Group Practice 4587618285 Receives reassigned benefits from 3 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mesa, AZ; Phoenix, AZ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chicanos Por la Causa Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1112 E Buckeye Rd
Phoenix, AZ 85034

1402 S Central Ave
Phoenix, AZ 85004
Phone (602) 257-0700

3640 W Grant St
Phoenix, AZ 85009
Phone (602) 233-9747

4602 W Indian School Rd
#C3
Phoenix, AZ 85031
Phone (623) 247-0464

4602 W Indian School Rd
Ste C3
Phoenix, AZ 85031
Phone (623) 247-0464

106 E 1st St
Ste A
Yuma, AZ 85364
Phone (928) 343-9825

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1487024543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344043",
            "telephone_number": "602-257-0700",
            "fax_number": "602-256-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "480-615-3800",
            "fax_number": "480-834-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICANOS POR LA CAUSA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "602-254-4827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC7328",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Esperanza",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.