Individual provider Active NPI

Carlomagno Calderon Briones, MD

  • General Practice Physician
  • Glendale, AZ
National Provider Identifier
1487854436
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
012468 Issued in PR
Practice address
7734 N 59TH Ave
Glendale, AZ 85301-7816
Phone
(602) 569-3999
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 012468 PR Primary
General Practice Physician 208D00000X 61622 AZ

Addresses

Primary practice location

7734 N 59TH Ave
Glendale, AZ 85301-7816

Mailing address

12842 W Modesto Dr
Litchfield Park, AZ 85340-6517
Phone (270) 903-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727003995 AZ Practitioner - General Practice 5092118109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

7734 N 59TH Ave
Glendale, AZ 85301-7816
Phone (602) 569-3999

Hospital & facility affiliations

  • Vital Hospice Care Inc Hospice, Glendale, AZ, CCN 031729

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61622AZMDGeneral Practice Physician
012468PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Desert Kidney Associates PLC Past Accepting new patients

Locations

301 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 421-7100

15235 N Dysart Rd
El Mirage, AZ 85335

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

616 E Southern Ave
Ste 103
Mesa, AZ 85204

616 E Southern Ave
Mesa, AZ 85204

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

13402 N 32nd St
Phoenix, AZ 85032

13402 N 32nd St
Ste 5
Phoenix, AZ 85032
Phone (623) 931-2444

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1487854436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12842 W MODESTO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853406517",
            "telephone_number": "270-903-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017816",
            "telephone_number": "602-569-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "CARLOMAGNO",
        "middle_name": "CALDERON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "012468",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "61622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.