Clinicas del Dr. Cazares

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1700 Issued in AZ

Legal business name

CLINICAS DEL DR. CAZARES

Practice address

6717 N 59TH Ave
Glendale, AZ 85301-3205

Phone

(623) 939-1411

Fax

(623) 939-1465

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Toni A Samaniego

Title

Generala Manager

Phone

(623) 939-1411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Mendoza Cazares, DO

  • General Practice Physician
  • Glendale, AZ
  • NPI 1649237488
  Medicare reassignment NPD

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1497025399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013205",
            "telephone_number": "623-939-1411",
            "fax_number": "623-939-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013205",
            "telephone_number": "623-939-1411",
            "fax_number": "623-939-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAS DEL DR. CAZARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERALA MANAGER",
        "authorized_official_telephone_number": "623-939-1411"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213546",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Clephas-Schulz, OTR/L
• Natacha Clerfond
• Kayla Renee Click, LCSW
• Clinica Dr Alfonso Salas PC
• Clinical Associates of Arizona LLC
• Clinton & Publishing LLC
• Close to Home LLC
• Douglas Clouse
• Sheryl Clouse, RN
• Eryn Elizabeth Cloutier, MA, LISAC

• Primary Care Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.